How much rates vary
Facilitymedian $3,162 · 10th to 90th $501 to $20,417Professionalmedian $389 · 10th to 90th $224 to $741
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 $354.81 Median $6,165.95 Typical High $20,892.96 | Facility | None | $354.81 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $389.05 | Professional | None | $281.84 | $354.81 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $173.78 Median $15,848.93 Typical High $33,113.11 | Facility | None | $173.78 | $15,848.93 | $33,113.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $407.38 Median $1,862.09 Typical High $1,949.84 | Professional | None | $407.38 | $1,862.09 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,025.60 Typical High $11,481.54 | Facility | None | $707.95 | $6,025.60 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $660.69 | Professional | None | $309.03 | $316.23 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $602.56 Typical High $9,120.11 | Professional | None | $257.04 | $602.56 | $9,120.11 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $660.69 | Professional | None | $204.17 | $389.05 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $512.86 | Facility | None | $309.03 | $501.19 | $512.86 |
Premera BCBS Setting Facility Modifier None Typical Low $436.52 Median $3,630.78 Typical High $6,456.54 | Facility | None | $436.52 | $3,630.78 | $6,456.54 |
Premera BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
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 $407.38 Median $407.38 Typical High $588.84 | Professional | None | $407.38 | $407.38 | $588.84 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $23,442.29 | Facility | None | $588.84 | $977.24 | $23,442.29 |
United Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $676.08 | Professional | None | $309.03 | $371.54 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $467.74 | Professional | None | $229.09 | $309.03 | $467.74 |
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 $141.25 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $141.25 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $56.23 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $213.80 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $42.66 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $28.18 | $35.48 | $35.48 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in Florida. 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· 20th of 51
$389
AK $1,047FL $245
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.