How much rates vary
Facilitymedian $776 · 10th to 90th $331 to $6,026Professionalmedian $347 · 10th to 90th $135 to $661
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 $331.13 Median $6,165.95 Typical High $20,892.96 | Facility | None | $331.13 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $251.19 Typical High $331.13 | Professional | None | $138.04 | $251.19 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $933.25 Typical High $6,165.95 | Facility | None | $74.13 | $933.25 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $501.19 Typical High $2,238.72 | Professional | None | $169.82 | $501.19 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $1,698.24 | Facility | None | $630.96 | $912.01 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $537.03 | Professional | None | $141.25 | $263.03 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $478.63 Typical High $1,258.93 | Professional | None | $199.53 | $478.63 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $416.87 Typical High $645.65 | Professional | None | $70.79 | $416.87 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $467.74 | Facility | None | $269.15 | $416.87 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $616.60 Typical High $1,122.02 | Facility | None | $107.15 | $616.60 | $1,122.02 |
Premera BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $316.23 | Professional | None | $147.91 | $147.91 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,090.30 | $4,677.35 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $562.34 | Professional | None | $151.36 | $323.59 | $562.34 |
United Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $6,165.95 | Facility | None | $371.54 | $707.95 | $6,165.95 |
United Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $630.96 | Professional | None | $141.25 | $295.12 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $371.54 | Professional | None | $128.82 | $194.98 | $371.54 |
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 $69.18 Median $102.33 Typical High $165.96 | Professional | 52 · Reduced service | $69.18 | $102.33 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $40.74 Typical High $66.07 | Professional | 53 · Discontinued | $27.54 | $40.74 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $151.36 Typical High $251.19 | Professional | 54 · Surgery only | $102.33 | $151.36 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $30.20 Typical High $50.12 | Professional | 55 · Aftercare only | $20.89 | $30.20 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $20.42 Typical High $33.11 | Professional | 56 · Pre-op care only | $13.80 | $20.42 | $33.11 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 8th of 51
$398
AK $776KY $182
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.