How much rates vary
Facilitymedian $347 · 10th to 90th $126 to $1,148Professionalmedian $468 · 10th to 90th $115 to $977
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 $154.88 Median $4,677.35 Typical High $20,892.96 | Facility | None | $154.88 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $302.00 Typical High $537.03 | Professional | None | $114.82 | $302.00 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $63.10 Median $691.83 Typical High $1,412.54 | Facility | None | $63.10 | $691.83 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $134.90 Median $676.08 Typical High $3,235.94 | Professional | None | $134.90 | $676.08 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $1,000.00 | Facility | None | $186.21 | $354.81 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $275.42 Typical High $575.44 | Professional | None | $100.00 | $275.42 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $251.19 Typical High $741.31 | Professional | None | $100.00 | $251.19 | $741.31 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $954.99 | Professional | None | $269.15 | $537.03 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $676.08 | Facility | None | $426.58 | $630.96 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $269.15 | Facility | None | $112.20 | $151.36 | $269.15 |
Premera BCBS Setting Professional Modifier None Typical Low $120.23 Median $354.81 Typical High $457.09 | Professional | None | $120.23 | $354.81 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $724.44 Typical High $1,380.38 | Facility | None | $549.54 | $724.44 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $134.90 Median $281.84 Typical High $676.08 | Professional | None | $134.90 | $281.84 | $676.08 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,023.29 | Facility | None | $134.90 | $346.74 | $1,023.29 |
United Setting Professional Modifier None Typical Low $107.15 Median $302.00 Typical High $645.65 | Professional | None | $107.15 | $302.00 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $354.81 Typical High $851.14 | Professional | None | $83.18 | $354.81 | $851.14 |
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 $57.54 Median $147.91 Typical High $269.15 | Professional | 52 · Reduced service | $57.54 | $147.91 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $58.88 Typical High $107.15 | Professional | 53 · Discontinued | $22.91 | $58.88 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $223.87 Typical High $407.38 | Professional | 54 · Surgery only | $85.11 | $223.87 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $44.67 Typical High $81.28 | Professional | 55 · Aftercare only | $16.98 | $44.67 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $29.51 Typical High $53.70 | Professional | 56 · Pre-op care only | $11.48 | $29.51 | $53.70 |
Where Washington sits
The same service costs 4.8 times more in Wisconsin 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· 3rd of 51
$468
WI $479DC $100
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.