How much rates vary
Facilitymedian $437 · 10th to 90th $155 to $2,042Professionalmedian $148 · 10th to 90th $85 to $302
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 $138.04 Median $6,456.54 Typical High $20,892.96 | Facility | None | $138.04 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $144.54 | Professional | None | $125.89 | $138.04 | $144.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $1,230.27 Typical High $2,511.89 | Facility | None | $66.07 | $1,230.27 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $144.54 Median $776.25 Typical High $891.25 | Professional | None | $144.54 | $776.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $1,000.00 | Facility | None | $331.13 | $630.96 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $281.84 | Professional | None | $123.03 | $131.83 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $467.74 | Professional | None | $104.71 | $223.87 | $467.74 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $251.19 | Professional | None | $83.18 | $147.91 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $213.80 | Facility | None | $147.91 | $186.21 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $588.84 | Facility | None | $199.53 | $302.00 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,511.89 | Facility | None | $977.24 | $1,318.26 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | None | $144.54 | $144.54 | $239.88 |
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 $120.23 Median $154.88 Typical High $281.84 | Professional | None | $120.23 | $154.88 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $177.83 | Professional | None | $89.13 | $120.23 | $177.83 |
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 $61.66 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $104.71 Typical High $107.15 | Professional | 54 · Surgery only | $93.33 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $21.38 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.80 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.30 | $13.80 | $14.45 |
Where Washington sits
The same service costs 4.8 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· 22nd of 51
$151
AK $427FL $89.13
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.