How much rates vary
Facilitymedian $15,488 · 10th to 90th $447 to $25,704Professionalmedian $3,162 · 10th to 90th $525 to $5,888
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 $3,630.78 Typical High $20,417.38 | Facility | None | $446.68 | $3,630.78 | $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 $323.59 Median $524.81 Typical High $524.81 | Professional | None | $323.59 | $524.81 | $524.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $245.47 Median $15,488.17 Typical High $31,622.78 | Facility | None | $245.47 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $4,265.80 Typical High $19,952.62 | Professional | None | $501.19 | $4,265.80 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,122.02 Typical High $5,128.61 | Professional | None | $426.58 | $1,122.02 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $1,174.90 Typical High $4,677.35 | Professional | None | $446.68 | $1,174.90 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $3,548.13 Typical High $5,754.40 | Professional | None | $1,778.28 | $3,548.13 | $5,754.40 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $3,467.37 Typical High $3,890.45 | Facility | None | $331.13 | $3,467.37 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,754.23 | Facility | None | $2,691.53 | $2,691.53 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $2,754.23 Typical High $2,754.23 | Professional | None | $501.19 | $2,754.23 | $2,754.23 |
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 $1,174.90 Typical High $4,466.84 | Professional | None | $489.78 | $1,174.90 | $4,466.84 |
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 $1,659.59 Typical High $5,011.87 | Professional | None | $446.68 | $1,659.59 | $5,011.87 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $3,388.44 | Professional | None | $371.54 | $645.65 | $3,388.44 |
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 $758.58 Typical High $1,445.44 | Professional | 52 · Reduced service | $223.87 | $758.58 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $302.00 Typical High $588.84 | Professional | 53 · Discontinued | $89.13 | $302.00 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $1,148.15 Typical High $2,187.76 | Professional | 54 · Surgery only | $331.13 | $1,148.15 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $229.09 Typical High $436.52 | Professional | 55 · Aftercare only | $66.07 | $229.09 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $151.36 Typical High $288.40 | Professional | 56 · Pre-op care only | $44.67 | $151.36 | $288.40 |
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 6.2 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
$3,162
WA $3,162MD $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.