How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,585 to $18,197Professionalmedian $1,862 · 10th to 90th $339 to $3,311
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 $316.23 Median $4,677.35 Typical High $20,417.38 | Facility | None | $316.23 | $4,677.35 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $1,412.54 Typical High $1,995.26 | Professional | None | $316.23 | $1,412.54 | $1,995.26 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $8,912.51 Typical High $18,197.01 | Facility | None | $169.82 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $346.74 Median $2,818.38 Typical High $10,715.19 | Professional | None | $346.74 | $2,818.38 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $794.33 Typical High $3,548.13 | Professional | None | $309.03 | $794.33 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $954.99 Typical High $3,235.94 | Professional | None | $354.81 | $954.99 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $977.24 Median $1,949.84 Typical High $3,162.28 | Professional | None | $977.24 | $1,949.84 | $3,162.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $2,691.53 | Facility | None | $1,584.89 | $2,398.83 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,819.70 | $1,819.70 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $1,737.80 Typical High $1,737.80 | Professional | None | $338.84 | $1,737.80 | $1,737.80 |
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 $346.74 Median $812.83 Typical High $2,951.21 | Professional | None | $346.74 | $812.83 | $2,951.21 |
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 $331.13 Median $1,230.27 Typical High $3,311.31 | Professional | None | $331.13 | $1,230.27 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $1,778.28 | Professional | None | $251.19 | $446.68 | $1,778.28 |
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 $158.49 Median $588.84 Typical High $1,000.00 | Professional | 52 · Reduced service | $158.49 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $234.42 Typical High $398.11 | Professional | 53 · Discontinued | $64.57 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $870.96 Typical High $1,513.56 | Professional | 54 · Surgery only | $239.88 | $870.96 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $173.78 Typical High $302.00 | Professional | 55 · Aftercare only | $47.86 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $117.49 Typical High $199.53 | Professional | 56 · Pre-op care only | $31.62 | $117.49 | $199.53 |
Where Washington sits
The same service costs 4.7 times more in Wisconsin 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· 3rd of 51
$1,862
WI $2,089NE $447
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.