How much rates vary
Facilitymedian $4,365 · 10th to 90th $724 to $39,811Professionalmedian $741 · 10th to 90th $182 to $1,445
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 $630.96 Median $11,220.18 Typical High $21,877.62 | Facility | None | $630.96 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $691.83 | Professional | None | $457.09 | $630.96 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $27,542.29 Typical High $57,543.99 | Facility | None | $331.13 | $27,542.29 | $57,543.99 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $3,388.44 Typical High $3,890.45 | Professional | None | $645.65 | $3,388.44 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,456.54 Typical High $12,022.64 | Facility | None | $707.95 | $6,456.54 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $1,318.26 | Professional | None | $575.44 | $660.69 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $10,000.00 | Professional | None | $691.83 | $1,148.15 | $10,000.00 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $741.31 Typical High $1,318.26 | Professional | None | $128.82 | $741.31 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $954.99 | Facility | None | $562.34 | $891.25 | $954.99 |
Premera BCBS Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $3,801.89 | Facility | None | $630.96 | $2,398.83 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $19,952.62 Median $28,840.32 Typical High $57,543.99 | Facility | None | $19,952.62 | $28,840.32 | $57,543.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,288.25 | Professional | None | $645.65 | $933.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $41,686.94 | Facility | None | $2,089.30 | $3,548.13 | $41,686.94 |
United Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,445.44 | Professional | None | $602.56 | $812.83 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $891.25 | Professional | None | $588.84 | $616.60 | $891.25 |
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 $316.23 Median $316.23 Typical High $338.84 | Professional | 52 · Reduced service | $316.23 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | 53 · Discontinued | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | 54 · Surgery only | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $69.18 |
Where Washington sits
The same service costs 3.9 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· 26th of 51
$794
AK $1,905NY $490
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.