How much rates vary
Facilitymedian $912 · 10th to 90th $457 to $4,571Professionalmedian $309 · 10th to 90th $170 to $617
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 $309.03 Median $6,165.95 Typical High $20,892.96 | Facility | None | $309.03 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $346.74 | Professional | None | $269.15 | $309.03 | $346.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $151.36 Median $3,311.31 Typical High $6,760.83 | Facility | None | $151.36 | $3,311.31 | $6,760.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $354.81 Median $1,659.59 Typical High $1,698.24 | Professional | None | $354.81 | $1,659.59 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $1,737.80 | Facility | None | $707.95 | $954.99 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | None | $281.84 | $281.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $524.81 Typical High $1,258.93 | Professional | None | $223.87 | $524.81 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $501.19 | Professional | None | $162.18 | $295.12 | $501.19 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $467.74 | Facility | None | $269.15 | $436.52 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,096.48 | Facility | None | $416.87 | $645.65 | $1,096.48 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $6,456.54 | Facility | None | $2,290.87 | $3,467.37 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | None | $354.81 | $354.81 | $512.86 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $4,677.35 | Facility | None | $588.84 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $588.84 | Professional | None | $269.15 | $323.59 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $416.87 | Professional | None | $204.17 | $275.42 | $416.87 |
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 $134.90 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $40.74 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $26.92 | $30.90 | $30.90 |
Where Washington sits
The same service costs 4.7 times more in Wyoming than in Utah. 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· 26th of 51
$309
WY $912UT $195
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.