How much rates vary
Facilitymedian $1,820 · 10th to 90th $550 to $13,183Professionalmedian $309 · 10th to 90th $91 to $589
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 $309.03 Median $6,165.95 Typical High $20,892.96 | Facility | None | $309.03 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $309.03 | Professional | None | $173.78 | $239.88 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $85.11 Median $1,000.00 Typical High $14,454.40 | Facility | None | $85.11 | $1,000.00 | $14,454.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $173.78 Median $380.19 Typical High $2,089.30 | Professional | None | $173.78 | $380.19 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $3,981.07 | Facility | None | $630.96 | $2,187.76 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $562.34 | Professional | None | $151.36 | $245.47 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $426.58 Typical High $3,235.94 | Professional | None | $213.80 | $426.58 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $338.84 Typical High $588.84 | Professional | None | $58.88 | $338.84 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $436.52 | Facility | None | $269.15 | $398.11 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,548.82 Typical High $2,818.38 | Facility | None | $776.25 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | None | $177.83 | $177.83 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $10,964.78 Typical High $20,892.96 | Facility | None | $7,244.36 | $10,964.78 | $20,892.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $537.03 | Professional | None | $173.78 | $295.12 | $537.03 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $14,454.40 | Facility | None | $1,202.26 | $1,949.84 | $14,454.40 |
United Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $575.44 | Professional | None | $165.96 | $295.12 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $316.23 | Professional | None | $151.36 | $234.42 | $316.23 |
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 $87.10 Median $109.65 Typical High $154.88 | Professional | 52 · Reduced service | $87.10 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $61.66 | Professional | 53 · Discontinued | $34.67 | $43.65 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $162.18 Typical High $229.09 | Professional | 54 · Surgery only | $128.82 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $32.36 Typical High $45.71 | Professional | 55 · Aftercare only | $25.70 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.88 Typical High $30.90 | Professional | 56 · Pre-op care only | $17.38 | $21.88 | $30.90 |
Where Washington sits
The same service costs 3.7 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· 10th of 51
$331
AK $708KY $191
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.