How much rates vary
Facilitymedian $9,772 · 10th to 90th $1,514 to $18,197Professionalmedian $1,445 · 10th to 90th $269 to $2,570
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 $245.47 Median $912.01 Typical High $1,513.56 | Professional | None | $245.47 | $912.01 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $134.90 Median $8,912.51 Typical High $18,197.01 | Facility | None | $134.90 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $275.42 Median $2,187.76 Typical High $8,317.64 | Professional | None | $275.42 | $2,187.76 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $616.60 Typical High $2,691.53 | Professional | None | $239.88 | $616.60 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $741.31 Typical High $2,511.89 | Professional | None | $269.15 | $741.31 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $776.25 Median $1,513.56 Typical High $2,454.71 | Professional | None | $776.25 | $1,513.56 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,548.82 | $1,819.70 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,318.26 | $1,380.38 | $1,380.38 |
Premera BCBS Setting Professional Modifier None Typical Low $269.15 Median $1,318.26 Typical High $1,318.26 | Professional | None | $269.15 | $1,318.26 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,456.54 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,456.54 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $630.96 Typical High $2,290.87 | Professional | None | $275.42 | $630.96 | $2,290.87 |
United Setting Facility Modifier None Typical Low $8,128.31 Median $12,022.64 Typical High $19,054.61 | Facility | None | $8,128.31 | $12,022.64 | $19,054.61 |
United Setting Professional Modifier None Typical Low $251.19 Median $954.99 Typical High $2,570.40 | Professional | None | $251.19 | $954.99 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $1,380.38 | Professional | None | $199.53 | $346.74 | $1,380.38 |
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 $123.03 Median $436.52 Typical High $758.58 | Professional | 52 · Reduced service | $123.03 | $436.52 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $173.78 Typical High $302.00 | Professional | 53 · Discontinued | $48.98 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $660.69 Typical High $1,148.15 | Professional | 54 · Surgery only | $186.21 | $660.69 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $131.83 Typical High $229.09 | Professional | 55 · Aftercare only | $37.15 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $87.10 Typical High $151.36 | Professional | 56 · Pre-op care only | $24.55 | $87.10 | $151.36 |
Where Washington sits
The same service costs 5.9 times more in Wisconsin 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· 3rd of 51
$1,445
WI $1,622MD $275
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.