How much rates vary
Facilitymedian $347 · 10th to 90th $112 to $1,047Professionalmedian $537 · 10th to 90th $155 to $1,072
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 $295.12 Median $4,677.35 Typical High $20,892.96 | Facility | None | $295.12 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $537.03 | Professional | None | $181.97 | $295.12 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $645.65 Typical High $1,348.96 | Facility | None | $89.13 | $645.65 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $199.53 Median $776.25 Typical High $3,548.13 | Professional | None | $199.53 | $776.25 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $630.96 | Facility | None | $173.78 | $338.84 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $398.11 Typical High $933.25 | Professional | None | $158.49 | $398.11 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $870.96 | Professional | None | $169.82 | $309.03 | $870.96 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $630.96 Typical High $1,071.52 | Professional | None | $107.15 | $630.96 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $758.58 | Facility | None | $398.11 | $616.60 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $52.48 Median $128.82 Typical High $269.15 | Facility | None | $52.48 | $128.82 | $269.15 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $512.86 | Professional | None | $181.97 | $181.97 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,348.96 | Facility | None | $478.63 | $707.95 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $407.38 Typical High $912.01 | Professional | None | $186.21 | $407.38 | $912.01 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $954.99 | Facility | None | $134.90 | $346.74 | $954.99 |
United Setting Professional Modifier None Typical Low $177.83 Median $407.38 Typical High $977.24 | Professional | None | $177.83 | $407.38 | $977.24 |
Wellpoint Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $588.84 | Professional | None | $158.49 | $239.88 | $588.84 |
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 $91.20 Median $131.83 Typical High $269.15 | Professional | 52 · Reduced service | $91.20 | $131.83 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $52.48 Typical High $107.15 | Professional | 53 · Discontinued | $36.31 | $52.48 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $194.98 Typical High $407.38 | Professional | 54 · Surgery only | $134.90 | $194.98 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $38.90 Typical High $81.28 | Professional | 55 · Aftercare only | $26.92 | $38.90 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $26.30 Typical High $53.70 | Professional | 56 · Pre-op care only | $18.20 | $26.30 | $53.70 |
Where Washington sits
The same service costs 6.9 times more in New York than in Alabama. 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.
Physician feeFacility fee
NY $2,939AL $425
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.