How much rates vary
Facilitymedian $2,512 · 10th to 90th $708 to $21,878Professionalmedian $617 · 10th to 90th $145 to $1,148
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 $602.56 Median $7,943.28 Typical High $27,542.29 | Facility | None | $602.56 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $602.56 Typical High $660.69 | Professional | None | $251.19 | $602.56 | $660.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $281.84 Median $15,848.93 Typical High $32,359.37 | Facility | None | $281.84 | $15,848.93 | $32,359.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $3,235.94 | Professional | None | $616.60 | $1,148.15 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $7,244.36 | Facility | None | $707.95 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $1,288.25 | Professional | None | $537.03 | $588.84 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $1,096.48 Typical High $6,025.60 | Professional | None | $489.78 | $1,096.48 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $588.84 Typical High $1,047.13 | Professional | None | $100.00 | $588.84 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $354.81 Median $794.33 Typical High $891.25 | Facility | None | $354.81 | $794.33 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $2,511.89 Typical High $3,890.45 | Facility | None | $602.56 | $2,511.89 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,230.27 | Professional | None | $616.60 | $891.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $22,908.68 | Facility | None | $1,202.26 | $1,949.84 | $22,908.68 |
United Setting Professional Modifier None Typical Low $354.81 Median $707.95 Typical High $1,380.38 | Professional | None | $354.81 | $707.95 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $758.58 | Professional | None | $512.86 | $537.03 | $758.58 |
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 $302.00 Median $302.00 Typical High $331.13 | Professional | 52 · Reduced service | $302.00 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $446.68 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $66.07 |
Where Washington sits
The same service costs 5.2 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· 25th of 51
$631
AK $1,820KY $347
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.