How much rates vary
Facilitymedian $912 · 10th to 90th $589 to $2,188Professionalmedian $1,318 · 10th to 90th $234 to $2,138
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 $1,202.26 Median $5,128.61 Typical High $21,877.62 | Facility | None | $1,202.26 | $5,128.61 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,202.26 | $1,202.26 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $5,888.44 | Facility | None | $630.96 | $630.96 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,318.26 Median $6,760.83 Typical High $7,413.10 | Professional | None | $1,318.26 | $6,760.83 | $7,413.10 |
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 $1,174.90 Median $1,288.25 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,288.25 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,949.84 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $1,288.25 Typical High $1,949.84 | Professional | None | $208.93 | $1,288.25 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,096.48 | $1,819.70 | $1,905.46 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,318.26 | Facility | None | $1,288.25 | $1,288.25 | $1,318.26 |
Premera BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,905.46 | $2,691.53 |
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 $1,202.26 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,659.59 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,174.90 | $1,659.59 |
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 $602.56 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | 53 · Discontinued | $239.88 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | 54 · Surgery only | $912.01 | $912.01 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $125.89 |
Where Washington sits
The same service costs 4.7 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· 30th of 51
$1,318
AK $3,890KY $832
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.