How much rates vary
Facilitymedian $1,122 · 10th to 90th $372 to $11,220Professionalmedian $269 · 10th to 90th $102 to $501
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 $269.15 Median $5,128.61 Typical High $20,892.96 | Facility | None | $269.15 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $275.42 | Professional | None | $104.71 | $213.80 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $794.33 Typical High $12,302.69 | Facility | None | $70.79 | $794.33 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $114.82 Median $263.03 Typical High $2,398.83 | Professional | None | $114.82 | $263.03 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $3,890.45 | Facility | None | $467.74 | $2,187.76 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $446.68 | Professional | None | $102.33 | $218.78 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $398.11 Typical High $3,090.30 | Professional | None | $162.18 | $398.11 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $316.23 Typical High $501.19 | Professional | None | $54.95 | $316.23 | $501.19 |
Pacific Source Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $467.74 | Facility | None | $302.00 | $363.08 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $416.87 Median $1,479.11 Typical High $2,754.23 | Facility | None | $416.87 | $1,479.11 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $257.04 | Professional | None | $112.20 | $112.20 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,165.95 Median $9,120.11 Typical High $17,782.79 | Facility | None | $6,165.95 | $9,120.11 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $457.09 | Professional | None | $114.82 | $257.04 | $457.09 |
United Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $12,302.69 | Facility | None | $371.54 | $707.95 | $12,302.69 |
United Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $501.19 | Professional | None | $114.82 | $245.47 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $309.03 | Professional | None | $107.15 | $158.49 | $309.03 |
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 $52.48 Median $107.15 Typical High $134.90 | Professional | 52 · Reduced service | $52.48 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $42.66 Typical High $53.70 | Professional | 53 · Discontinued | $20.89 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $158.49 Typical High $199.53 | Professional | 54 · Surgery only | $79.43 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $31.62 Typical High $40.74 | Professional | 55 · Aftercare only | $15.85 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $21.38 Typical High $26.92 | Professional | 56 · Pre-op care only | $10.47 | $21.38 | $26.92 |
Where Washington sits
The same service costs 4.1 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· 19th of 51
$309
AK $646NE $158
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.