How much rates vary
Facilitymedian $2,239 · 10th to 90th $170 to $17,378Professionalmedian $1,549 · 10th to 90th $282 to $2,818
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 $691.83 Median $6,165.95 Typical High $20,892.96 | Facility | None | $691.83 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $1,071.52 Typical High $1,862.09 | Professional | None | $239.88 | $1,071.52 | $1,862.09 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $302.00 Median $2,454.71 Typical High $9,332.54 | Professional | None | $302.00 | $2,454.71 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $676.08 Typical High $2,754.23 | Professional | None | $257.04 | $676.08 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $812.83 Typical High $2,630.27 | Professional | None | $281.84 | $812.83 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $851.14 Median $1,698.24 Typical High $2,754.23 | Professional | None | $851.14 | $1,698.24 | $2,754.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,238.72 | Facility | None | $1,621.81 | $1,949.84 | $2,238.72 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,445.44 | $1,445.44 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $1,380.38 Typical High $1,380.38 | Professional | None | $281.84 | $1,380.38 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $676.08 Typical High $2,398.83 | Professional | None | $288.40 | $676.08 | $2,398.83 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $6,165.95 | Facility | None | $501.19 | $1,122.02 | $6,165.95 |
United Setting Professional Modifier None Typical Low $269.15 Median $912.01 Typical High $2,691.53 | Professional | None | $269.15 | $912.01 | $2,691.53 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $1,548.82 | Professional | None | $213.80 | $380.19 | $1,548.82 |
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 $131.83 Median $478.63 Typical High $794.33 | Professional | 52 · Reduced service | $131.83 | $478.63 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $190.55 Typical High $316.23 | Professional | 53 · Discontinued | $53.70 | $190.55 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $707.95 Typical High $1,174.90 | Professional | 54 · Surgery only | $199.53 | $707.95 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $141.25 Typical High $234.42 | Professional | 55 · Aftercare only | $39.81 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $95.50 Typical High $158.49 | Professional | 56 · Pre-op care only | $26.30 | $95.50 | $158.49 |
Where Washington sits
The same service costs 4.1 times more in Washington than in Nebraska. 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· 1st of 51
$1,549
WA $1,549NE $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.