How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,047 to $12,023Professionalmedian $1,413 · 10th to 90th $331 to $2,455
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 $794.33 Median $9,549.93 Typical High $21,877.62 | Facility | None | $794.33 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $1,023.29 Typical High $1,584.89 | Professional | None | $338.84 | $1,023.29 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $186.21 Median $1,548.82 Typical High $12,302.69 | Facility | None | $186.21 | $1,548.82 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $1,995.26 Typical High $11,481.54 | Professional | None | $371.54 | $1,995.26 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $4,168.69 | Facility | None | $707.95 | $2,344.23 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $912.01 Typical High $2,398.83 | Professional | None | $331.13 | $912.01 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $1,995.26 Typical High $3,235.94 | Professional | None | $524.81 | $1,995.26 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $1,513.56 Typical High $2,398.83 | Professional | None | $263.03 | $1,513.56 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,290.87 | Facility | None | $1,548.82 | $1,862.09 | $2,290.87 |
Premera BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,754.23 | Facility | None | $1,174.90 | $1,659.59 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $1,318.26 | Professional | None | $371.54 | $371.54 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,165.95 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,165.95 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $831.76 Typical High $2,344.23 | Professional | None | $371.54 | $831.76 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,302.69 | Facility | None | $1,513.56 | $2,570.40 | $12,302.69 |
United Setting Professional Modifier None Typical Low $380.19 Median $977.24 Typical High $2,818.38 | Professional | None | $380.19 | $977.24 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $1,445.44 | Professional | None | $323.59 | $489.78 | $1,445.44 |
4 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 54 · Surgery only Typical Low $257.04 Median $776.25 Typical High $1,122.02 | Professional | 54 · Surgery only | $257.04 | $776.25 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $154.88 Typical High $223.87 | Professional | 55 · Aftercare only | $51.29 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $102.33 Typical High $151.36 | Professional | 56 · Pre-op care only | $34.67 | $102.33 | $151.36 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,302.68 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,302.68 |
Where Washington sits
The same service costs 4.8 times more in Alaska 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· 14th of 51
$1,479
AK $2,512NE $525
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.