How much rates vary
Facilitymedian $15,488 · 10th to 90th $575 to $27,542Professionalmedian $3,236 · 10th to 90th $537 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 $446.68 Median $3,801.89 Typical High $20,417.38 | Facility | None | $446.68 | $3,801.89 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,584.89 Typical High $3,630.78 | Professional | None | $354.81 | $1,584.89 | $3,630.78 |
Ambetter Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $616.60 | Professional | None | $512.86 | $537.03 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $15,488.17 Typical High $31,622.78 | Facility | None | $251.19 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $512.86 Median $4,365.16 Typical High $20,417.38 | Professional | None | $512.86 | $4,365.16 | $20,417.38 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,122.02 Typical High $5,370.32 | Professional | None | $426.58 | $1,122.02 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $1,174.90 Typical High $4,786.30 | Professional | None | $457.09 | $1,174.90 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $3,715.35 Typical High $6,025.60 | Professional | None | $1,819.70 | $3,715.35 | $6,025.60 |
Pacific Source Setting Facility Modifier None Typical Low $3,235.94 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,235.94 | $3,981.07 | $3,981.07 |
Premera BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $2,754.23 Typical High $2,818.38 | Professional | None | $501.19 | $2,754.23 | $2,818.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,715.19 Median $16,218.10 Typical High $30,199.52 | Facility | None | $10,715.19 | $16,218.10 | $30,199.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $1,202.26 Typical High $4,786.30 | Professional | None | $489.78 | $1,202.26 | $4,786.30 |
United Setting Facility Modifier None Typical Low $14,125.38 Median $20,892.96 Typical High $33,113.11 | Facility | None | $14,125.38 | $20,892.96 | $33,113.11 |
United Setting Professional Modifier None Typical Low $446.68 Median $1,698.24 Typical High $5,248.07 | Professional | None | $446.68 | $1,698.24 | $5,248.07 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $3,467.37 | Professional | None | $371.54 | $660.69 | $3,467.37 |
6 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 $223.87 Median $794.33 Typical High $1,513.56 | Professional | 52 · Reduced service | $223.87 | $794.33 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $323.59 Typical High $616.60 | Professional | 53 · Discontinued | $89.13 | $323.59 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $1,202.26 Typical High $2,290.87 | Professional | 54 · Surgery only | $338.84 | $1,202.26 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $239.88 Typical High $457.09 | Professional | 55 · Aftercare only | $67.61 | $239.88 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $158.49 Typical High $302.00 | Professional | 56 · Pre-op care only | $44.67 | $158.49 | $302.00 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,848.93 Median $23,988.33 Typical High $45,708.82 | Facility | 50 · Both sides | $15,848.93 | $23,988.33 | $45,708.82 |
Where Washington sits
The same service costs 6.3 times more in Washington 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· 1st of 51
$3,236
WA $3,236MD $513
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.