How much rates vary
Facilitymedian $15,849 · 10th to 90th $2,818 to $27,542Professionalmedian $2,884 · 10th to 90th $479 to $5,248
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 $5,128.61 Typical High $20,892.96 | Facility | None | $446.68 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $2,089.30 Typical High $3,311.31 | Professional | None | $446.68 | $2,089.30 | $3,311.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $15,488.17 Typical High $31,622.78 | Facility | None | $229.09 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $4,466.84 Typical High $16,595.87 | Professional | None | $478.63 | $4,466.84 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,071.52 Typical High $5,623.41 | Professional | None | $426.58 | $1,071.52 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $1,318.26 Typical High $5,128.61 | Professional | None | $489.78 | $1,318.26 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $4,897.79 | Professional | None | $1,513.56 | $3,019.95 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $4,466.84 | Facility | None | $3,162.28 | $3,801.89 | $4,466.84 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,691.53 | $2,818.38 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $2,691.53 Typical High $2,691.53 | Professional | None | $467.74 | $2,691.53 | $2,691.53 |
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 $478.63 Median $1,122.02 Typical High $4,677.35 | Professional | None | $478.63 | $1,122.02 | $4,677.35 |
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 $457.09 Median $1,905.46 Typical High $5,248.07 | Professional | None | $457.09 | $1,905.46 | $5,248.07 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $2,818.38 | Professional | None | $346.74 | $602.56 | $2,818.38 |
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 $223.87 Median $933.25 Typical High $1,584.89 | Professional | 52 · Reduced service | $223.87 | $933.25 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $371.54 Typical High $630.96 | Professional | 53 · Discontinued | $89.13 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $1,380.38 Typical High $2,344.23 | Professional | 54 · Surgery only | $331.13 | $1,380.38 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $275.42 Typical High $467.74 | Professional | 55 · Aftercare only | $66.07 | $275.42 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $186.21 Typical High $316.23 | Professional | 56 · Pre-op care only | $44.67 | $186.21 | $316.23 |
Where Washington sits
The same service costs 6.9 times more in Wisconsin than in Hawaii. 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
$2,884
WI $3,162HI $457
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.