How much rates vary
Facilitymedian $1,413 · 10th to 90th $661 to $7,413Professionalmedian $1,995 · 10th to 90th $204 to $3,467
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 $190.55 Median $4,677.35 Typical High $20,417.38 | Facility | None | $190.55 | $4,677.35 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $1,380.38 Typical High $2,398.83 | Professional | None | $154.88 | $1,380.38 | $2,398.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $5,128.61 Typical High $10,471.29 | Facility | None | $100.00 | $5,128.61 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $208.93 Median $2,818.38 Typical High $11,748.98 | Professional | None | $208.93 | $2,818.38 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,584.89 Typical High $2,951.21 | Facility | None | $707.95 | $1,584.89 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $489.78 Typical High $3,715.35 | Professional | None | $181.97 | $489.78 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $1,819.70 Typical High $3,630.78 | Professional | None | $275.42 | $1,819.70 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $2,137.96 Typical High $3,388.44 | Professional | None | $371.54 | $2,137.96 | $3,388.44 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $3,162.28 | Facility | None | $1,905.46 | $2,511.89 | $3,162.28 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,995.26 | Facility | None | $812.83 | $1,071.52 | $1,995.26 |
Premera BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $1,862.09 | Professional | None | $204.17 | $204.17 | $1,862.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $10,000.00 | Facility | None | $4,073.80 | $5,370.32 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $457.09 Typical High $3,311.31 | Professional | None | $208.93 | $457.09 | $3,311.31 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $8,128.31 | Facility | None | $588.84 | $977.24 | $8,128.31 |
United Setting Professional Modifier None Typical Low $199.53 Median $1,445.44 Typical High $3,981.07 | Professional | None | $199.53 | $1,445.44 | $3,981.07 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $1,995.26 | Professional | None | $177.83 | $263.03 | $1,995.26 |
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 $95.50 Median $691.83 Typical High $1,202.26 | Professional | 52 · Reduced service | $95.50 | $691.83 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $275.42 Typical High $478.63 | Professional | 53 · Discontinued | $38.02 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $1,047.13 Typical High $1,819.70 | Professional | 54 · Surgery only | $144.54 | $1,047.13 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $208.93 Typical High $363.08 | Professional | 55 · Aftercare only | $28.84 | $208.93 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $138.04 Typical High $239.88 | Professional | 56 · Pre-op care only | $19.05 | $138.04 | $239.88 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,025.60 Median $7,943.28 Typical High $15,135.61 | Facility | 50 · Both sides | $6,025.60 | $7,943.28 | $15,135.61 |
Where Washington sits
The same service costs 8.5 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· 5th of 51
$1,950
WI $2,291NE $269
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.