How much rates vary
Facilitymedian $912 · 10th to 90th $575 to $2,138Professionalmedian $1,096 · 10th to 90th $195 to $1,778
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 $954.99 Median $7,943.28 Typical High $27,542.29 | Facility | None | $954.99 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | None | $954.99 | $954.99 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $4,677.35 | Facility | None | $537.03 | $537.03 | $4,677.35 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,047.13 Median $5,370.32 Typical High $6,165.95 | Professional | None | $1,047.13 | $5,370.32 | $6,165.95 |
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 $933.25 Median $1,023.29 Typical High $2,187.76 | Professional | None | $933.25 | $1,023.29 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,548.82 Typical High $1,995.26 | Professional | None | $933.25 | $1,548.82 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $1,096.48 Typical High $1,659.59 | Professional | None | $177.83 | $1,096.48 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,513.56 | Facility | None | $1,230.27 | $1,445.44 | $1,513.56 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Premera BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,479.11 | $2,137.96 |
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 $954.99 Median $1,318.26 Typical High $2,344.23 | Professional | None | $954.99 | $1,318.26 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,412.54 | Professional | None | $933.25 | $977.24 | $1,412.54 |
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 $478.63 Median $478.63 Typical High $501.19 | Professional | 52 · Reduced service | $478.63 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 53 · Discontinued | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 54 · Surgery only | $724.44 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $100.00 |
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· 28th of 51
$1,096
WI $3,090NY $813
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.