How much rates vary
Facilitymedian $55 · 10th to 90th $16 to $603Professionalmedian $34 · 10th to 90th $21 to $74
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 $21.88 Median $36.31 Typical High $39.81 | Facility | None | $21.88 | $36.31 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $39.81 | Professional | None | $21.88 | $30.90 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | None | $27.54 | $30.20 | $30.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.48 Median $416.87 Typical High $870.96 | Facility | None | $11.48 | $416.87 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $23.99 Median $47.86 Typical High $239.88 | Professional | None | $23.99 | $47.86 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $24.55 Typical High $50.12 | Facility | None | $18.20 | $24.55 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $48.98 | Professional | None | $21.38 | $30.90 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $66.07 | Professional | None | $17.78 | $33.88 | $66.07 |
Molina Setting Professional Modifier None Typical Low $1.10 Median $13.49 Typical High $27.54 | Professional | None | $1.10 | $13.49 | $27.54 |
Pacific Source Setting Facility Modifier None Typical Low $36.31 Median $51.29 Typical High $57.54 | Facility | None | $36.31 | $51.29 | $57.54 |
Premera BCBS Setting Facility Modifier None Typical Low $13.18 Median $18.62 Typical High $28.84 | Facility | None | $13.18 | $18.62 | $28.84 |
Premera BCBS Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $38.02 | Professional | None | $23.44 | $23.44 | $38.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $870.96 | Facility | None | $302.00 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.99 Median $38.02 Typical High $56.23 | Professional | None | $23.99 | $38.02 | $56.23 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $707.95 | Facility | None | $134.90 | $346.74 | $707.95 |
United Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $63.10 | Professional | None | $22.91 | $37.15 | $63.10 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $28.84 Typical High $40.74 | Professional | None | $15.49 | $28.84 | $40.74 |
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 $10.96 Median $14.13 Typical High $18.20 | Professional | 52 · Reduced service | $10.96 | $14.13 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.62 Typical High $7.24 | Professional | 53 · Discontinued | $4.37 | $5.62 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $4.17 Typical High $5.37 | Professional | 55 · Aftercare only | $3.24 | $4.17 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.82 Typical High $3.63 | Professional | 56 · Pre-op care only | $2.19 | $2.82 | $3.63 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | 50 · Both sides | $457.09 | $691.83 | $1,318.26 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in Virginia. 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· 16th of 51
$35.48
AK $69.18VA $22.91
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.