How much rates vary
Facilitymedian $708 · 10th to 90th $135 to $2,630Professionalmedian $126 · 10th to 90th $59 to $214
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 $123.03 Median $6,165.95 Typical High $20,892.96 | Facility | None | $123.03 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $131.83 | Professional | None | $117.49 | $123.03 | $131.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $61.66 Median $1,230.27 Typical High $2,511.89 | Facility | None | $61.66 | $1,230.27 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $707.95 | Professional | None | $131.83 | $229.09 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $1,659.59 | Facility | None | $707.95 | $741.31 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $257.04 | Professional | None | $117.49 | $128.82 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $245.47 | Professional | None | $97.72 | $162.18 | $245.47 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $169.82 | Professional | None | $52.48 | $100.00 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $194.98 | Facility | None | $123.03 | $186.21 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $131.83 | Facility | None | $128.82 | $128.82 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,398.83 | Facility | None | $954.99 | $1,258.93 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | None | $131.83 | $131.83 | $218.78 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,778.28 | Facility | None | $134.90 | $346.74 | $1,778.28 |
United Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $257.04 | Professional | None | $117.49 | $144.54 | $257.04 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $165.96 | Professional | None | $83.18 | $112.20 | $165.96 |
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 $57.54 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $93.33 Typical High $97.72 | Professional | 54 · Surgery only | $87.10 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $18.62 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.30 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.75 | $12.30 | $12.88 |
Where Washington sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 27th of 51
$129
AK $372FL $93.33
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.