How much rates vary
Facilitymedian $3,020 · 10th to 90th $832 to $12,303Professionalmedian $1,738 · 10th to 90th $417 to $3,090
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 $8,912.51 Typical High $21,877.62 | Facility | None | $691.83 | $8,912.51 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,348.96 Typical High $1,905.46 | Professional | None | $416.87 | $1,348.96 | $1,905.46 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $8,912.51 Typical High $18,197.01 | Facility | None | $234.42 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $467.74 Median $2,630.27 Typical High $10,471.29 | Professional | None | $467.74 | $2,630.27 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,019.95 Typical High $5,248.07 | Facility | None | $707.95 | $3,019.95 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $1,023.29 Typical High $3,019.95 | Professional | None | $416.87 | $1,023.29 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $2,630.27 Typical High $4,365.16 | Professional | None | $630.96 | $2,630.27 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $1,905.46 Typical High $2,951.21 | Professional | None | $323.59 | $1,905.46 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $2,884.03 | Facility | None | $1,995.26 | $2,511.89 | $2,884.03 |
Premera BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,511.89 Typical High $4,168.69 | Facility | None | $1,778.28 | $2,511.89 | $4,168.69 |
Premera BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $1,737.80 | Professional | None | $457.09 | $457.09 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,456.54 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,456.54 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $467.74 Median $1,023.29 Typical High $3,090.30 | Professional | None | $467.74 | $1,023.29 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $12,302.69 | Facility | None | $1,548.82 | $2,570.40 | $12,302.69 |
United Setting Professional Modifier None Typical Low $467.74 Median $1,230.27 Typical High $3,548.13 | Professional | None | $467.74 | $1,230.27 | $3,548.13 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $1,737.80 | Professional | None | $407.38 | $602.56 | $1,737.80 |
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 $208.93 Median $676.08 Typical High $954.99 | Professional | 52 · Reduced service | $208.93 | $676.08 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $269.15 Typical High $380.19 | Professional | 53 · Discontinued | $83.18 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $1,000.00 Typical High $1,445.44 | Professional | 54 · Surgery only | $316.23 | $1,000.00 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $199.53 Typical High $288.40 | Professional | 55 · Aftercare only | $63.10 | $199.53 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $134.90 Typical High $190.55 | Professional | 56 · Pre-op care only | $41.69 | $134.90 | $190.55 |
Where Washington sits
The same service costs 5.1 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· 16th of 51
$1,820
AK $3,020NE $589
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.