How much rates vary
Facilitymedian $955 · 10th to 90th $479 to $6,457Professionalmedian $457 · 10th to 90th $138 to $912
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 $446.68 Median $6,165.95 Typical High $20,892.96 | Facility | None | $446.68 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $446.68 | Professional | None | $213.80 | $338.84 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $870.96 Typical High $6,456.54 | Facility | None | $102.33 | $870.96 | $6,456.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $660.69 Typical High $2,691.53 | Professional | None | $257.04 | $660.69 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,148.15 Typical High $2,089.30 | Facility | None | $467.74 | $1,148.15 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $346.74 Typical High $776.25 | Professional | None | $190.55 | $346.74 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $616.60 Typical High $1,621.81 | Professional | None | $288.40 | $616.60 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $512.86 Typical High $870.96 | Professional | None | $89.13 | $512.86 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $630.96 | Facility | None | $331.13 | $562.34 | $630.96 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,445.44 | Facility | None | $602.56 | $831.76 | $1,445.44 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $426.58 | Professional | None | $218.78 | $218.78 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $9,332.54 | Facility | None | $3,801.89 | $5,011.87 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $436.52 Typical High $741.31 | Professional | None | $213.80 | $436.52 | $741.31 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,918.31 | Facility | None | $588.84 | $977.24 | $6,918.31 |
United Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $812.83 | Professional | None | $208.93 | $398.11 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $446.68 | Professional | None | $186.21 | $281.84 | $446.68 |
6 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 $107.15 Median $144.54 Typical High $223.87 | Professional | 52 · Reduced service | $107.15 | $144.54 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $57.54 Typical High $89.13 | Professional | 53 · Discontinued | $42.66 | $57.54 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $213.80 Typical High $331.13 | Professional | 54 · Surgery only | $158.49 | $213.80 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $42.66 Typical High $66.07 | Professional | 55 · Aftercare only | $31.62 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $28.84 Typical High $44.67 | Professional | 56 · Pre-op care only | $21.38 | $28.84 | $44.67 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,623.41 Median $7,413.10 Typical High $14,125.38 | Facility | 50 · Both sides | $5,623.41 | $7,413.10 | $14,125.38 |
Where Washington sits
The same service costs 3.9 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· 8th of 51
$479
AK $933KY $240
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.