How much rates vary
Facilitymedian $631 · 10th to 90th $166 to $3,548Professionalmedian $240 · 10th to 90th $110 to $457
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 $288.40 Median $5,128.61 Typical High $20,892.96 | Facility | None | $288.40 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $288.40 | Professional | None | $109.65 | $177.83 | $288.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $2,511.89 Typical High $5,248.07 | Facility | None | $51.29 | $2,511.89 | $5,248.07 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $128.82 Median $380.19 Typical High $1,698.24 | Professional | None | $128.82 | $380.19 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $1,000.00 | Facility | None | $190.55 | $363.08 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $218.78 Typical High $338.84 | Professional | None | $97.72 | $218.78 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $426.58 | Professional | None | $97.72 | $199.53 | $426.58 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $426.58 | Professional | None | $131.83 | $245.47 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $371.54 Typical High $380.19 | Facility | None | $223.87 | $371.54 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $416.87 | Facility | None | $134.90 | $208.93 | $416.87 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $263.03 Typical High $263.03 | Professional | None | $112.20 | $263.03 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $5,011.87 | Facility | None | $1,949.84 | $2,630.27 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $263.03 Typical High $380.19 | Professional | None | $128.82 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $3,715.35 | Facility | None | $588.84 | $977.24 | $3,715.35 |
United Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $371.54 | Professional | None | $102.33 | $223.87 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $190.55 Typical High $436.52 | Professional | None | $67.61 | $190.55 | $436.52 |
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 $54.95 Median $89.13 Typical High $144.54 | Professional | 52 · Reduced service | $54.95 | $89.13 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $35.48 Typical High $57.54 | Professional | 53 · Discontinued | $21.88 | $35.48 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $131.83 Typical High $218.78 | Professional | 54 · Surgery only | $83.18 | $131.83 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $26.30 Typical High $43.65 | Professional | 55 · Aftercare only | $16.60 | $26.30 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $17.78 Typical High $28.84 | Professional | 56 · Pre-op care only | $10.96 | $17.78 | $28.84 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 8th of 51
$245
AK $355MD $95.50
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.