How much rates vary
Facilitymedian $977 · 10th to 90th $525 to $6,457Professionalmedian $398 · 10th to 90th $123 to $794
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 $263.03 Median $6,165.95 Typical High $20,892.96 | Facility | None | $263.03 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $416.87 | Professional | None | $158.49 | $245.47 | $416.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $1,000.00 Typical High $6,456.54 | Facility | None | $77.62 | $1,000.00 | $6,456.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $190.55 Median $575.44 Typical High $2,344.23 | Professional | None | $190.55 | $575.44 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $2,187.76 | Facility | None | $630.96 | $1,174.90 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $316.23 Typical High $691.83 | Professional | None | $141.25 | $316.23 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $524.81 Typical High $1,621.81 | Professional | None | $223.87 | $524.81 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $457.09 Typical High $776.25 | Professional | None | $79.43 | $457.09 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $537.03 | Facility | None | $302.00 | $467.74 | $537.03 |
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 $162.18 Median $162.18 Typical High $371.54 | Professional | None | $162.18 | $162.18 | $371.54 |
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 $158.49 Median $346.74 Typical High $660.69 | Professional | None | $158.49 | $346.74 | $660.69 |
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 $154.88 Median $323.59 Typical High $724.44 | Professional | None | $154.88 | $323.59 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $389.05 | Professional | None | $141.25 | $213.80 | $389.05 |
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 $79.43 Median $107.15 Typical High $199.53 | Professional | 52 · Reduced service | $79.43 | $107.15 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $42.66 Typical High $79.43 | Professional | 53 · Discontinued | $31.62 | $42.66 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $162.18 Typical High $295.12 | Professional | 54 · Surgery only | $120.23 | $162.18 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $32.36 Typical High $58.88 | Professional | 55 · Aftercare only | $23.99 | $32.36 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $21.38 Typical High $39.81 | Professional | 56 · Pre-op care only | $15.85 | $21.38 | $39.81 |
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· 7th of 51
$417
AK $708KY $182
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.