How much rates vary
Facilitymedian $437 · 10th to 90th $174 to $1,698Professionalmedian $407 · 10th to 90th $123 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 $407.38 Median $6,165.95 Typical High $20,892.96 | Facility | None | $407.38 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $407.38 | Professional | None | $177.83 | $275.42 | $407.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $933.25 Typical High $1,862.09 | Facility | None | $89.13 | $933.25 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $181.97 Median $407.38 Typical High $2,398.83 | Professional | None | $181.97 | $407.38 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $1,023.29 | Facility | None | $288.40 | $562.34 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $707.95 | Professional | None | $158.49 | $323.59 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $676.08 | Professional | None | $239.88 | $346.74 | $676.08 |
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 $323.59 Median $478.63 Typical High $549.54 | Facility | None | $323.59 | $478.63 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $239.88 Typical High $398.11 | Facility | None | $186.21 | $239.88 | $398.11 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $380.19 | Professional | None | $181.97 | $181.97 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,238.72 | Facility | None | $912.01 | $1,202.26 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $181.97 Median $380.19 Typical High $660.69 | Professional | None | $181.97 | $380.19 | $660.69 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,584.89 | Facility | None | $134.90 | $346.74 | $1,584.89 |
United Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $741.31 | Professional | None | $177.83 | $346.74 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $407.38 | Professional | None | $162.18 | $245.47 | $407.38 |
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 $89.13 Median $114.82 Typical High $204.17 | Professional | 52 · Reduced service | $89.13 | $114.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $45.71 Typical High $81.28 | Professional | 53 · Discontinued | $35.48 | $45.71 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $173.78 Typical High $302.00 | Professional | 54 · Surgery only | $134.90 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $34.67 Typical High $61.66 | Professional | 55 · Aftercare only | $26.92 | $34.67 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $22.91 Typical High $40.74 | Professional | 56 · Pre-op care only | $17.78 | $22.91 | $40.74 |
Where Washington sits
The same service costs 3.1 times more in Wisconsin 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
$407
WI $676KY $219
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.