How much rates vary
Facilitymedian $933 · 10th to 90th $501 to $6,166Professionalmedian $1,000 · 10th to 90th $219 to $1,820
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 $208.93 Median $2,754.23 Typical High $20,417.38 | Facility | None | $208.93 | $2,754.23 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $549.54 Typical High $1,174.90 | Professional | None | $151.36 | $549.54 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $676.08 | Professional | None | $162.18 | $162.18 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $109.65 Median $4,466.84 Typical High $9,332.54 | Facility | None | $109.65 | $4,466.84 | $9,332.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $229.09 Median $1,479.11 Typical High $5,888.44 | Professional | None | $229.09 | $1,479.11 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $1,412.54 | Facility | None | $707.95 | $851.14 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $501.19 Typical High $1,698.24 | Professional | None | $204.17 | $501.19 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $707.95 Typical High $1,513.56 | Professional | None | $208.93 | $707.95 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $549.54 Median $1,096.48 Typical High $1,778.28 | Professional | None | $549.54 | $1,096.48 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,445.44 | Facility | None | $912.01 | $1,318.26 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $630.96 Typical High $1,023.29 | Facility | None | $371.54 | $630.96 | $1,023.29 |
Premera BCBS Setting Professional Modifier None Typical Low $223.87 Median $891.25 Typical High $954.99 | Professional | None | $223.87 | $891.25 | $954.99 |
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 $229.09 Median $537.03 Typical High $1,548.82 | Professional | None | $229.09 | $537.03 | $1,548.82 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,165.95 | Facility | None | $588.84 | $977.24 | $6,165.95 |
United Setting Professional Modifier None Typical Low $204.17 Median $602.56 Typical High $1,737.80 | Professional | None | $204.17 | $602.56 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $1,000.00 | Professional | None | $165.96 | $295.12 | $1,000.00 |
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 $104.71 Median $257.04 Typical High $512.86 | Professional | 52 · Reduced service | $104.71 | $257.04 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $102.33 Typical High $208.93 | Professional | 53 · Discontinued | $41.69 | $102.33 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $380.19 Typical High $776.25 | Professional | 54 · Surgery only | $158.49 | $380.19 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $75.86 Typical High $154.88 | Professional | 55 · Aftercare only | $31.62 | $75.86 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $51.29 Typical High $104.71 | Professional | 56 · Pre-op care only | $20.89 | $51.29 | $104.71 |
Where Washington sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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· 2nd of 51
$1,000
WI $1,148HI $219
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.