How much rates vary
Facilitymedian $204 · 10th to 90th $81 to $1,122Professionalmedian $182 · 10th to 90th $110 to $347
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $173.78 Median $5,128.61 Typical High $20,892.96 | Facility | None | $173.78 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $190.55 | Professional | None | $114.82 | $138.04 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $69.18 Median $707.95 Typical High $1,479.11 | Facility | None | $69.18 | $707.95 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $1,288.25 | Professional | None | $134.90 | $251.19 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $245.47 | Facility | None | $66.07 | $147.91 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $263.03 | Professional | None | $120.23 | $162.18 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $309.03 | Professional | None | $107.15 | $177.83 | $309.03 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $190.55 Typical High $346.74 | Professional | None | $58.88 | $190.55 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $288.40 | Facility | None | $190.55 | $257.04 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $169.82 | Facility | None | $69.18 | $95.50 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | None | $134.90 | $134.90 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,479.11 | Facility | None | $549.54 | $776.25 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $281.84 | Professional | None | $134.90 | $181.97 | $281.84 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,122.02 | Facility | None | $134.90 | $346.74 | $1,122.02 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $309.03 | Professional | None | $123.03 | $173.78 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $213.80 | Professional | None | $91.20 | $151.36 | $213.80 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $63.10 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $25.12 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $20.89 Typical High $26.30 | Professional | 55 · Aftercare only | $19.05 | $20.89 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $17.38 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $17.38 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $831.76 Median $1,174.90 Typical High $2,238.72 | Facility | 50 · Both sides | $831.76 | $1,174.90 | $2,238.72 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 13th of 51
$182
AK $398FL $107
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.