How much rates vary
Facilitymedian $155 · 10th to 90th $56 to $1,023Professionalmedian $141 · 10th to 90th $83 to $263
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 $95.50 Median $95.50 Typical High $138.04 | Facility | None | $95.50 | $95.50 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $138.04 | Professional | None | $95.50 | $107.15 | $138.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $724.44 Typical High $1,479.11 | Facility | None | $50.12 | $724.44 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $1,023.29 | Professional | None | $104.71 | $194.98 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $177.83 | Facility | None | $66.07 | $107.15 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $204.17 | Professional | None | $93.33 | $128.82 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $239.88 | Professional | None | $79.43 | $128.82 | $239.88 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $144.54 Typical High $257.04 | Professional | None | $42.66 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $213.80 | Facility | None | $147.91 | $199.53 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $66.07 Typical High $120.23 | Facility | None | $43.65 | $66.07 | $120.23 |
Premera BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $147.91 | Professional | None | $104.71 | $104.71 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $1,479.11 | Facility | None | $524.81 | $776.25 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $218.78 | Professional | None | $104.71 | $144.54 | $218.78 |
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 $95.50 Median $138.04 Typical High $245.47 | Professional | None | $95.50 | $138.04 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $169.82 | Professional | None | $67.61 | $120.23 | $169.82 |
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 $47.86 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.85 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.72 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.55 | $10.72 | $13.80 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $1,174.90 Typical High $2,238.72 | Facility | 50 · Both sides | $776.25 | $1,174.90 | $2,238.72 |
Where Washington sits
The same service costs 3.8 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· 11th of 51
$141
AK $309FL $81.28
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.