How much rates vary
Facilitymedian $933 · 10th to 90th $468 to $6,457Professionalmedian $407 · 10th to 90th $138 to $759
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 $223.87 Median $3,981.07 Typical High $20,417.38 | Facility | None | $223.87 | $3,981.07 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $457.09 | Professional | None | $190.55 | $316.23 | $457.09 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $562.34 | Professional | None | $144.54 | $144.54 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $758.58 Typical High $6,456.54 | Facility | None | $128.82 | $758.58 | $6,456.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $2,290.87 | Professional | None | $223.87 | $467.74 | $2,290.87 |
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 $199.53 Median $309.03 Typical High $660.69 | Professional | None | $199.53 | $309.03 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $524.81 Typical High $1,621.81 | Professional | None | $275.42 | $524.81 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $457.09 Typical High $776.25 | Professional | None | $77.62 | $457.09 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $501.19 | Facility | None | $288.40 | $478.63 | $501.19 |
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 $229.09 Median $229.09 Typical High $346.74 | Professional | None | $229.09 | $229.09 | $346.74 |
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 $223.87 Median $380.19 Typical High $630.96 | Professional | None | $223.87 | $380.19 | $630.96 |
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 $218.78 Median $371.54 Typical High $676.08 | Professional | None | $218.78 | $371.54 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $380.19 | Professional | None | $194.98 | $295.12 | $380.19 |
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 $112.20 Median $154.88 Typical High $177.83 | Professional | 52 · Reduced service | $112.20 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $61.66 Typical High $70.79 | Professional | 53 · Discontinued | $44.67 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $229.09 Typical High $269.15 | Professional | 54 · Surgery only | $169.82 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $33.88 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $30.90 Typical High $35.48 | Professional | 56 · Pre-op care only | $22.39 | $30.90 | $35.48 |
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 3.1 times more in Alaska than in New York. 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· 9th of 51
$427
AK $794NY $257
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.