How much rates vary
Facilitymedian $174 · 10th to 90th $76 to $1,023Professionalmedian $166 · 10th to 90th $105 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 $109.65 Median $109.65 Typical High $158.49 | Facility | None | $109.65 | $109.65 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $158.49 | Professional | None | $109.65 | $123.03 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $61.66 Median $724.44 Typical High $1,479.11 | Facility | None | $61.66 | $724.44 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $117.49 Median $223.87 Typical High $1,202.26 | Professional | None | $117.49 | $223.87 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $144.54 Typical High $239.88 | Facility | None | $66.07 | $144.54 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $239.88 | Professional | None | $104.71 | $147.91 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $281.84 | Professional | None | $100.00 | $162.18 | $281.84 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $190.55 Typical High $346.74 | Professional | None | $56.23 | $190.55 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $234.42 Typical High $251.19 | Facility | None | $138.04 | $234.42 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $91.20 Typical High $162.18 | Facility | None | $67.61 | $91.20 | $162.18 |
Premera BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $173.78 | Professional | None | $120.23 | $120.23 | $173.78 |
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 $117.49 Median $165.96 Typical High $257.04 | Professional | None | $117.49 | $165.96 | $257.04 |
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 $107.15 Median $158.49 Typical High $288.40 | Professional | None | $107.15 | $158.49 | $288.40 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $199.53 | Professional | None | $83.18 | $141.25 | $199.53 |
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 $54.95 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.20 Typical High $23.99 | Professional | 55 · Aftercare only | $16.60 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $15.85 |
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 3.6 times more in Alaska than in Kentucky. 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
$166
AK $355KY $97.72
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.