How much rates vary
Facilitymedian $912 · 10th to 90th $575 to $2,138Professionalmedian $1,047 · 10th to 90th $186 to $1,698
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 $912.01 Median $7,943.28 Typical High $27,542.29 | Facility | None | $912.01 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | None | $912.01 | $912.01 | $954.99 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $4,466.84 | Facility | None | $512.86 | $512.86 | $4,466.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $5,128.61 Typical High $5,888.44 | Professional | None | $1,000.00 | $5,128.61 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $2,089.30 | Professional | None | $891.25 | $977.24 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,000.00 | $1,479.11 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,047.13 Typical High $1,584.89 | Professional | None | $169.82 | $1,047.13 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,000.00 | $1,380.38 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Premera BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,412.54 | $2,041.74 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $2,238.72 | Professional | None | $933.25 | $1,258.93 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,318.26 | Professional | None | $891.25 | $933.25 | $1,318.26 |
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 $457.09 Median $457.09 Typical High $478.63 | Professional | 52 · Reduced service | $457.09 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | 53 · Discontinued | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | 54 · Surgery only | $691.83 | $691.83 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $95.50 |
Where Washington sits
The same service costs 3.8 times more in Wisconsin 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· 33rd of 51
$1,023
WI $2,951NY $776
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.