How much rates vary
Facilitymedian $5,012 · 10th to 90th $955 to $21,380Professionalmedian $3,631 · 10th to 90th $240 to $6,310
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 $1,548.82 Median $12,302.69 Typical High $24,547.09 | Facility | None | $1,548.82 | $12,302.69 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $2,344.23 Typical High $4,265.80 | Professional | None | $223.87 | $2,344.23 | $4,265.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $109.65 Median $16,595.87 Typical High $33,884.42 | Facility | None | $109.65 | $16,595.87 | $33,884.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $5,011.87 Typical High $20,892.96 | Professional | None | $257.04 | $5,011.87 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,623.41 Typical High $10,000.00 | Facility | None | $707.95 | $5,623.41 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $562.34 Typical High $7,079.46 | Professional | None | $199.53 | $562.34 | $7,079.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $5,011.87 Typical High $8,317.64 | Professional | None | $309.03 | $5,011.87 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $660.69 Median $3,801.89 Typical High $6,025.60 | Professional | None | $660.69 | $3,801.89 | $6,025.60 |
Pacific Source Setting Facility Modifier None Typical Low $3,311.31 Median $4,677.35 Typical High $5,623.41 | Facility | None | $3,311.31 | $4,677.35 | $5,623.41 |
Premera BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,365.16 Typical High $7,585.78 | Facility | None | $3,467.37 | $4,365.16 | $7,585.78 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $3,388.44 | Professional | None | $229.09 | $229.09 | $3,388.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,882.50 Median $16,982.44 Typical High $32,359.37 | Facility | None | $12,882.50 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $2,951.21 Typical High $6,309.57 | Professional | None | $229.09 | $2,951.21 | $6,309.57 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $229.09 Median $2,691.53 Typical High $7,244.36 | Professional | None | $229.09 | $2,691.53 | $7,244.36 |
Wellpoint Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $3,548.13 | Professional | None | $194.98 | $295.12 | $3,548.13 |
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 $112.20 Median $1,318.26 Typical High $2,137.96 | Professional | 52 · Reduced service | $112.20 | $1,318.26 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $524.81 Typical High $870.96 | Professional | 53 · Discontinued | $44.67 | $524.81 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $1,949.84 Typical High $3,235.94 | Professional | 54 · Surgery only | $169.82 | $1,949.84 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $389.05 Typical High $645.65 | Professional | 55 · Aftercare only | $33.88 | $389.05 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $263.03 Typical High $426.58 | Professional | 56 · Pre-op care only | $22.39 | $263.03 | $426.58 |
Where Washington sits
The same service costs 33.1 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· 5th of 51
$3,631
AK $5,495KY $166
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.