How much rates vary
Facilitymedian $170 · 10th to 90th $69 to $1,023Professionalmedian $166 · 10th to 90th $100 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 $102.33 Median $102.33 Typical High $158.49 | Facility | None | $102.33 | $102.33 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $158.49 | Professional | None | $102.33 | $114.82 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $707.95 Typical High $1,479.11 | Facility | None | $54.95 | $707.95 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $112.20 Median $218.78 Typical High $1,174.90 | Professional | None | $112.20 | $218.78 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $218.78 | Facility | None | $66.07 | $128.82 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $223.87 | Professional | None | $100.00 | $144.54 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $154.88 Typical High $275.42 | Professional | None | $93.33 | $154.88 | $275.42 |
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 $141.25 Median $234.42 Typical High $245.47 | Facility | None | $141.25 | $234.42 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $147.91 | Facility | None | $60.26 | $81.28 | $147.91 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | None | $112.20 | $112.20 | $169.82 |
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 $112.20 Median $165.96 Typical High $251.19 | Professional | None | $112.20 | $165.96 | $251.19 |
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 $154.88 Typical High $275.42 | Professional | None | $107.15 | $154.88 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $194.98 | Professional | None | $72.44 | $138.04 | $194.98 |
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 $51.29 Median $57.54 Typical High $79.43 | Professional | 52 · Reduced service | $51.29 | $57.54 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.91 Typical High $31.62 | Professional | 53 · Discontinued | $20.42 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $16.98 Typical High $23.44 | Professional | 55 · Aftercare only | $15.49 | $16.98 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.48 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.23 | $11.48 | $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 3.5 times more in Alaska than in Maryland. 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· 11th of 51
$166
AK $339MD $95.50
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.