How much rates vary
Facilitymedian $891 · 10th to 90th $550 to $2,188Professionalmedian $724 · 10th to 90th $129 to $1,175
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 $616.60 Median $7,943.28 Typical High $27,542.29 | Facility | None | $616.60 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | None | $616.60 | $616.60 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $346.74 Typical High $3,019.95 | Facility | None | $30.20 | $346.74 | $3,019.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $5,623.41 | Professional | None | $676.08 | $1,258.93 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,412.54 | Professional | None | $616.60 | $676.08 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,348.96 | Professional | None | $691.83 | $1,047.13 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $724.44 Typical High $1,096.48 | Professional | None | $120.23 | $724.44 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $1,000.00 | Facility | None | $776.25 | $933.25 | $1,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Premera BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,380.38 | Professional | None | $676.08 | $954.99 | $1,380.38 |
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 $645.65 Median $870.96 Typical High $1,513.56 | Professional | None | $645.65 | $870.96 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $912.01 | Professional | None | $602.56 | $630.96 | $912.01 |
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 $309.03 Median $309.03 Typical High $323.59 | Professional | 52 · Reduced service | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | 54 · Surgery only | $467.74 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $64.57 |
Where Washington sits
The same service costs 15.5 times more in Alabama 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.
Physician feeFacility fee
AL $17,674MD $1,138
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.