How much rates vary
Facilitymedian $3,162 · 10th to 90th $708 to $16,218Professionalmedian $251 · 10th to 90th $52 to $468
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 $257.04 Median $11,220.18 Typical High $21,877.62 | Facility | None | $257.04 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $281.84 | Professional | None | $194.98 | $257.04 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $12,882.50 Typical High $26,915.35 | Facility | None | $117.49 | $12,882.50 | $26,915.35 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $269.15 Median $1,348.96 Typical High $45,708.82 | Professional | None | $269.15 | $1,348.96 | $45,708.82 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,235.94 Typical High $6,165.95 | Facility | None | $707.95 | $3,235.94 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $549.54 | Professional | None | $239.88 | $263.03 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $5,011.87 | Professional | None | $295.12 | $478.63 | $5,011.87 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $218.78 Typical High $398.11 | Professional | None | $37.15 | $218.78 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $389.05 | Facility | None | $257.04 | $363.08 | $389.05 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $4,265.80 | Facility | None | $1,513.56 | $2,511.89 | $4,265.80 |
Premera BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,912.51 Median $13,489.63 Typical High $25,703.96 | Facility | None | $8,912.51 | $13,489.63 | $25,703.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $512.86 | Professional | None | $269.15 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $16,982.44 | Facility | None | $2,089.30 | $3,548.13 | $16,982.44 |
United Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $575.44 | Professional | None | $239.88 | $331.13 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $316.23 | Professional | None | $213.80 | $223.87 | $316.23 |
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 $125.89 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 54 · Surgery only | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $28.18 |
Where Washington sits
The same service costs 10.2 times more in Oklahoma 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· 39th of 51
$257
OK $1,950KY $191
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.