How much rates vary
Facilitymedian $2,951 · 10th to 90th $851 to $19,953Professionalmedian $550 · 10th to 90th $309 to $955
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 $549.54 Median $12,302.69 Typical High $25,118.86 | Facility | None | $549.54 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $616.60 | Professional | None | $446.68 | $549.54 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $269.15 Median $2,818.38 Typical High $21,877.62 | Facility | None | $269.15 | $2,818.38 | $21,877.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $3,467.37 | Professional | None | $645.65 | $1,023.29 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $6,025.60 Typical High $10,964.78 | Facility | None | $1,862.09 | $6,025.60 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $1,023.29 | Professional | None | $467.74 | $501.19 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $870.96 Typical High $8,511.38 | Professional | None | $398.11 | $870.96 | $8,511.38 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $912.01 | Professional | None | $288.40 | $537.03 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $812.83 | Facility | None | $645.65 | $776.25 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $4,570.88 | Facility | None | $1,148.15 | $2,454.71 | $4,570.88 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,964.78 Median $16,595.87 Typical High $31,622.78 | Facility | None | $10,964.78 | $16,595.87 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | None | $645.65 | $645.65 | $933.25 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $23,442.29 | Facility | None | $1,513.56 | $2,570.40 | $23,442.29 |
United Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $1,047.13 | Professional | None | $467.74 | $575.44 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $741.31 | Professional | None | $363.08 | $489.78 | $741.31 |
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 $223.87 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $223.87 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $66.07 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $44.67 | $54.95 | $54.95 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 25th of 51
$550
AK $1,622TX $363
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.