How much rates vary
Facilitymedian $1,660 · 10th to 90th $457 to $10,000Professionalmedian $302 · 10th to 90th $132 to $631
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 $302.00 Median $5,128.61 Typical High $20,892.96 | Facility | None | $302.00 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $302.00 | Professional | None | $131.83 | $199.53 | $302.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $87.10 Median $794.33 Typical High $10,715.19 | Facility | None | $87.10 | $794.33 | $10,715.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $158.49 Median $426.58 Typical High $2,089.30 | Professional | None | $158.49 | $426.58 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,819.70 Typical High $3,388.44 | Facility | None | $467.74 | $1,819.70 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $363.08 | Professional | None | $114.82 | $199.53 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $2,238.72 | Professional | None | $117.49 | $251.19 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $588.84 | Professional | None | $177.83 | $346.74 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $436.52 | Facility | None | $234.42 | $354.81 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,398.83 | Facility | None | $812.83 | $1,412.54 | $2,398.83 |
Premera BCBS Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $295.12 | Professional | None | $138.04 | $295.12 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,128.31 Typical High $15,488.17 | Facility | None | $5,495.41 | $8,128.31 | $15,488.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $426.58 | Professional | None | $158.49 | $302.00 | $426.58 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $10,715.19 | Facility | None | $1,202.26 | $1,949.84 | $10,715.19 |
United Setting Professional Modifier None Typical Low $120.23 Median $223.87 Typical High $371.54 | Professional | None | $120.23 | $223.87 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $223.87 Typical High $524.81 | Professional | None | $95.50 | $223.87 | $524.81 |
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 $64.57 Median $97.72 Typical High $151.36 | Professional | 52 · Reduced service | $64.57 | $97.72 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $38.90 Typical High $60.26 | Professional | 53 · Discontinued | $26.30 | $38.90 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $144.54 Typical High $223.87 | Professional | 54 · Surgery only | $97.72 | $144.54 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $28.84 Typical High $45.71 | Professional | 55 · Aftercare only | $19.50 | $28.84 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $19.50 Typical High $30.20 | Professional | 56 · Pre-op care only | $13.18 | $19.50 | $30.20 |
Where Washington sits
The same service costs 4.0 times more in Alaska 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· 6th of 51
$302
AK $468DC $117
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.