How much rates vary
Facilitymedian $832 · 10th to 90th $407 to $4,571Professionalmedian $282 · 10th to 90th $120 to $550
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 $316.23 Median $5,128.61 Typical High $20,892.96 | Facility | None | $316.23 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $316.23 | Professional | None | $120.23 | $199.53 | $316.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $794.33 Typical High $4,570.88 | Facility | None | $77.62 | $794.33 | $4,570.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $141.25 Median $426.58 Typical High $2,041.74 | Professional | None | $141.25 | $426.58 | $2,041.74 |
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 $107.15 Median $199.53 Typical High $354.81 | Professional | None | $107.15 | $199.53 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $239.88 Typical High $1,023.29 | Professional | None | $107.15 | $239.88 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $512.86 | Professional | None | $151.36 | $295.12 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $426.58 | Facility | None | $239.88 | $363.08 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $1,174.90 | Facility | None | $380.19 | $645.65 | $1,174.90 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $288.40 Typical High $288.40 | Professional | None | $123.03 | $288.40 | $288.40 |
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 $141.25 Median $288.40 Typical High $426.58 | Professional | None | $141.25 | $288.40 | $426.58 |
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 $114.82 Median $229.09 Typical High $371.54 | Professional | None | $114.82 | $229.09 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $223.87 Typical High $524.81 | Professional | None | $85.11 | $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 $60.26 Median $95.50 Typical High $158.49 | Professional | 52 · Reduced service | $60.26 | $95.50 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $38.02 Typical High $63.10 | Professional | 53 · Discontinued | $23.99 | $38.02 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $144.54 Typical High $234.42 | Professional | 54 · Surgery only | $91.20 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $28.84 Typical High $46.77 | Professional | 55 · Aftercare only | $18.20 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $19.05 Typical High $31.62 | Professional | 56 · Pre-op care only | $12.02 | $19.05 | $31.62 |
Where Washington sits
The same service costs 4.2 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· 7th of 51
$282
AK $468DC $112
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.