How much rates vary
Facilitymedian $8,128 · 10th to 90th $891 to $37,154Professionalmedian $6,166 · 10th to 90th $562 to $11,482
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 $537.03 Median $7,585.78 Typical High $20,892.96 | Facility | None | $537.03 | $7,585.78 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $3,801.89 Typical High $7,244.36 | Professional | None | $426.58 | $3,801.89 | $7,244.36 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $275.42 Median $30,902.95 Typical High $63,095.73 | Facility | None | $275.42 | $30,902.95 | $63,095.73 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $9,332.54 Typical High $38,018.94 | Professional | None | $575.44 | $9,332.54 | $38,018.94 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $8,709.64 Typical High $16,218.10 | Facility | None | $707.95 | $8,709.64 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,288.25 Typical High $10,715.19 | Professional | None | $537.03 | $1,288.25 | $10,715.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $8,912.51 Typical High $14,125.38 | Professional | None | $794.33 | $8,912.51 | $14,125.38 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $6,918.31 Typical High $10,715.19 | Professional | None | $1,230.27 | $6,918.31 | $10,715.19 |
Pacific Source Setting Facility Modifier None Typical Low $5,495.41 Median $8,511.38 Typical High $9,332.54 | Facility | None | $5,495.41 | $8,511.38 | $9,332.54 |
Premera BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,079.46 Typical High $12,882.50 | Facility | None | $4,570.88 | $7,079.46 | $12,882.50 |
Premera BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $6,165.95 | Professional | None | $562.34 | $562.34 | $6,165.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $24,547.09 Median $32,359.37 Typical High $60,255.96 | Facility | None | $24,547.09 | $32,359.37 | $60,255.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $1,288.25 Typical High $10,964.78 | Professional | None | $575.44 | $1,288.25 | $10,964.78 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $44,668.36 | Facility | None | $3,801.89 | $7,244.36 | $44,668.36 |
United Setting Professional Modifier None Typical Low $588.84 Median $4,365.16 Typical High $12,589.25 | Professional | None | $588.84 | $4,365.16 | $12,589.25 |
Wellpoint Setting Professional Modifier None Typical Low $489.78 Median $741.31 Typical High $6,456.54 | Professional | None | $489.78 | $741.31 | $6,456.54 |
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 $269.15 Median $1,905.46 Typical High $3,630.78 | Professional | 52 · Reduced service | $269.15 | $1,905.46 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $758.58 Typical High $1,445.44 | Professional | 53 · Discontinued | $107.15 | $758.58 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $2,884.03 Typical High $5,370.32 | Professional | 54 · Surgery only | $407.38 | $2,884.03 | $5,370.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $575.44 Typical High $1,071.52 | Professional | 55 · Aftercare only | $81.28 | $575.44 | $1,071.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $380.19 Typical High $724.44 | Professional | 56 · Pre-op care only | $53.70 | $380.19 | $724.44 |
Where Washington sits
The same service costs 4.3 times more in Alabama than in Maine. 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.
Physician feeFacility fee
AL $20,420ME $4,758
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.