How much rates vary
Facilitymedian $977 · 10th to 90th $468 to $7,079Professionalmedian $603 · 10th to 90th $214 to $1,259
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 $524.81 Median $5,128.61 Typical High $20,892.96 | Facility | None | $524.81 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $645.65 | Professional | None | $218.78 | $380.19 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $870.96 Typical High $7,244.36 | Facility | None | $128.82 | $870.96 | $7,244.36 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $851.14 Typical High $4,073.80 | Professional | None | $251.19 | $851.14 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,202.26 Typical High $2,187.76 | Facility | None | $467.74 | $1,202.26 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $416.87 Typical High $707.95 | Professional | None | $194.98 | $416.87 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $478.63 Typical High $1,412.54 | Professional | None | $190.55 | $478.63 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $691.83 Typical High $1,202.26 | Professional | None | $316.23 | $691.83 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $758.58 Typical High $851.14 | Facility | None | $457.09 | $758.58 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $831.76 Typical High $1,479.11 | Facility | None | $398.11 | $831.76 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $213.80 Median $575.44 Typical High $575.44 | Professional | None | $213.80 | $575.44 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,715.35 Median $5,623.41 Typical High $10,471.29 | Facility | None | $3,715.35 | $5,623.41 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $537.03 Typical High $851.14 | Professional | None | $251.19 | $537.03 | $851.14 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $7,413.10 | Facility | None | $588.84 | $977.24 | $7,413.10 |
United Setting Professional Modifier None Typical Low $199.53 Median $457.09 Typical High $776.25 | Professional | None | $199.53 | $457.09 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $446.68 Typical High $1,047.13 | Professional | None | $144.54 | $446.68 | $1,047.13 |
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 $109.65 Median $186.21 Typical High $323.59 | Professional | 52 · Reduced service | $109.65 | $186.21 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $75.86 Typical High $128.82 | Professional | 53 · Discontinued | $43.65 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $281.84 Typical High $478.63 | Professional | 54 · Surgery only | $162.18 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $56.23 Typical High $95.50 | Professional | 55 · Aftercare only | $32.36 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $38.02 Typical High $64.57 | Professional | 56 · Pre-op care only | $21.88 | $38.02 | $64.57 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 4th of 51
$603
AK $851DC $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.