How much rates vary
Facilitymedian $1,000 · 10th to 90th $468 to $4,571Professionalmedian $1,288 · 10th to 90th $117 to $2,692
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 $114.82 Median $776.25 Typical High $1,548.82 | Professional | None | $114.82 | $776.25 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $3,162.28 Typical High $6,456.54 | Facility | None | $60.26 | $3,162.28 | $6,456.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $131.83 Median $1,905.46 Typical High $8,912.51 | Professional | None | $131.83 | $1,905.46 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,659.59 | Facility | None | $467.74 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $446.68 Typical High $1,584.89 | Professional | None | $102.33 | $446.68 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $831.76 Typical High $2,137.96 | Professional | None | $102.33 | $831.76 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $1,479.11 Typical High $2,570.40 | Professional | None | $741.31 | $1,479.11 | $2,570.40 |
Pacific Source Setting Facility Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $1,862.09 | Facility | None | $1,258.93 | $1,778.28 | $1,862.09 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,288.25 | Facility | None | $398.11 | $645.65 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $117.49 Median $346.74 Typical High $1,288.25 | Professional | None | $117.49 | $346.74 | $1,288.25 |
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 $131.83 Median $758.58 Typical High $1,905.46 | Professional | None | $131.83 | $758.58 | $1,905.46 |
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 $104.71 Median $724.44 Typical High $1,819.70 | Professional | None | $104.71 | $724.44 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $977.24 Typical High $2,344.23 | Professional | None | $79.43 | $977.24 | $2,344.23 |
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 $380.19 Typical High $776.25 | Professional | 52 · Reduced service | $57.54 | $380.19 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $151.36 Typical High $309.03 | Professional | 53 · Discontinued | $22.91 | $151.36 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $562.34 Typical High $1,174.90 | Professional | 54 · Surgery only | $85.11 | $562.34 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $112.20 Typical High $234.42 | Professional | 55 · Aftercare only | $17.38 | $112.20 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $75.86 Typical High $154.88 | Professional | 56 · Pre-op care only | $11.48 | $75.86 | $154.88 |
Where Washington sits
The same service costs 14.1 times more in Washington than in Kentucky. 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· 1st of 51
$1,288
WA $1,288KY $91.20
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.