How much rates vary
Facilitymedian $3,020 · 10th to 90th $741 to $15,849Professionalmedian $1,950 · 10th to 90th $129 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 $691.83 Median $6,165.95 Typical High $20,892.96 | Facility | None | $691.83 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $1,023.29 Typical High $2,454.71 | Professional | None | $125.89 | $1,023.29 | $2,454.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $58.88 Median $707.95 Typical High $17,782.79 | Facility | None | $58.88 | $707.95 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $131.83 Median $2,454.71 Typical High $11,748.98 | Professional | None | $131.83 | $2,454.71 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,019.95 Typical High $5,623.41 | Facility | None | $707.95 | $3,019.95 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $331.13 Typical High $3,890.45 | Professional | None | $117.49 | $331.13 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $2,884.03 Typical High $5,623.41 | Professional | None | $181.97 | $2,884.03 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $2,089.30 Typical High $3,235.94 | Professional | None | $380.19 | $2,089.30 | $3,235.94 |
Pacific Source Setting Facility Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $3,630.78 | Facility | None | $2,137.96 | $2,570.40 | $3,630.78 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $4,265.80 | Facility | None | $1,479.11 | $2,511.89 | $4,265.80 |
Premera BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $1,819.70 | Professional | None | $128.82 | $128.82 | $1,819.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,912.51 Median $13,489.63 Typical High $25,703.96 | Facility | None | $8,912.51 | $13,489.63 | $25,703.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $3,235.94 | Professional | None | $131.83 | $288.40 | $3,235.94 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $16,982.44 | Facility | None | $2,089.30 | $3,548.13 | $16,982.44 |
United Setting Professional Modifier None Typical Low $125.89 Median $1,348.96 Typical High $4,073.80 | Professional | None | $125.89 | $1,348.96 | $4,073.80 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $676.08 Typical High $1,995.26 | Professional | None | $107.15 | $676.08 | $1,995.26 |
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 $63.10 Median $512.86 Typical High $1,230.27 | Professional | 52 · Reduced service | $63.10 | $512.86 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $204.17 Typical High $489.78 | Professional | 53 · Discontinued | $25.12 | $204.17 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $776.25 Typical High $1,862.09 | Professional | 54 · Surgery only | $95.50 | $776.25 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $154.88 Typical High $371.54 | Professional | 55 · Aftercare only | $19.05 | $154.88 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $102.33 Typical High $245.47 | Professional | 56 · Pre-op care only | $12.59 | $102.33 | $245.47 |
Where Washington sits
The same service costs 19.1 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· 9th of 51
$2,042
AK $3,388NE $178
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.