How much rates vary
Facilitymedian $912 · 10th to 90th $589 to $3,311Professionalmedian $2,455 · 10th to 90th $1,905 to $6,026
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 $2,187.76 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,187.76 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $10,471.29 | Facility | None | $1,174.90 | $1,174.90 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,290.87 Median $5,248.07 Typical High $13,803.84 | Professional | None | $2,290.87 | $5,248.07 | $13,803.84 |
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 $3,090.30 Median $4,168.69 Typical High $5,495.41 | Professional | None | $3,090.30 | $4,168.69 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $3,548.13 Typical High $4,677.35 | Professional | None | $1,995.26 | $3,548.13 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $3,311.31 | Facility | None | $1,995.26 | $3,311.31 | $3,311.31 |
Premera BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,454.71 | Facility | None | $2,238.72 | $2,238.72 | $2,454.71 |
Premera BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,570.88 | Professional | None | $2,290.87 | $3,019.95 | $4,570.88 |
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 $1,548.82 Median $2,454.71 Typical High $5,623.41 | Professional | None | $1,548.82 | $2,454.71 | $5,623.41 |
Wellpoint Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Where Washington sits
The same service costs 5.2 times more in Alaska than in Maryland. 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· 14th of 51
$2,455
AK $7,244MD $1,380
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.