How much rates vary
Facilitymedian $3,090 · 10th to 90th $708 to $8,128Professionalmedian $2,399 · 10th to 90th $200 to $4,169
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 $199.53 Median $4,677.35 Typical High $20,892.96 | Facility | None | $199.53 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $1,412.54 Typical High $2,754.23 | Professional | None | $158.49 | $1,412.54 | $2,754.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $12,882.50 | Facility | None | $97.72 | $97.72 | $12,882.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $204.17 Median $3,467.37 Typical High $14,454.40 | Professional | None | $204.17 | $3,467.37 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $489.78 Typical High $3,981.07 | Professional | None | $181.97 | $489.78 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $446.68 Typical High $4,786.30 | Professional | None | $245.47 | $446.68 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $2,630.27 Typical High $4,073.80 | Professional | None | $457.09 | $2,630.27 | $4,073.80 |
Pacific Source Setting Facility Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,801.89 | Facility | None | $2,691.53 | $3,162.28 | $3,801.89 |
Premera BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $3,548.13 | Facility | None | $2,238.72 | $2,511.89 | $3,548.13 |
Premera BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $2,290.87 | Professional | None | $199.53 | $199.53 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $12,882.50 | Facility | None | $10,232.93 | $10,232.93 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $446.68 Typical High $4,073.80 | Professional | None | $204.17 | $446.68 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,801.89 Typical High $8,317.64 | Facility | None | $1,949.84 | $3,801.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $199.53 Median $1,513.56 Typical High $4,466.84 | Professional | None | $199.53 | $1,513.56 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $2,454.71 | Professional | None | $173.78 | $257.04 | $2,454.71 |
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 $93.33 Median $851.14 Typical High $1,380.38 | Professional | 52 · Reduced service | $93.33 | $851.14 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $346.74 Typical High $549.54 | Professional | 53 · Discontinued | $37.15 | $346.74 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $1,288.25 Typical High $2,089.30 | Professional | 54 · Surgery only | $141.25 | $1,288.25 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $257.04 Typical High $416.87 | Professional | 55 · Aftercare only | $28.18 | $257.04 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $169.82 Typical High $275.42 | Professional | 56 · Pre-op care only | $18.62 | $169.82 | $275.42 |
Where Washington sits
The same service costs 11.2 times more in Oklahoma 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· 5th of 51
$2,455
OK $2,818HI $251
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.