How much rates vary
Facilitymedian $575 · 10th to 90th $55 to $4,571Professionalmedian $224 · 10th to 90th $55 to $457
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 $54.95 Median $3,548.13 Typical High $20,417.38 | Facility | None | $54.95 | $3,548.13 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $141.25 Typical High $257.04 | Professional | None | $54.95 | $141.25 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.18 Median $2,454.71 Typical High $5,011.87 | Facility | None | $28.18 | $2,454.71 | $5,011.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $63.10 Median $323.59 Typical High $1,479.11 | Professional | None | $63.10 | $323.59 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $154.88 Typical High $281.84 | Professional | None | $48.98 | $154.88 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $123.03 Typical High $398.11 | Professional | None | $43.65 | $123.03 | $398.11 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $426.58 | Professional | None | $125.89 | $245.47 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $331.13 | Facility | None | $177.83 | $288.40 | $331.13 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $223.87 | Facility | None | $32.36 | $50.12 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $56.23 Median $165.96 Typical High $223.87 | Professional | None | $56.23 | $165.96 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,691.53 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $158.49 Typical High $323.59 | Professional | None | $63.10 | $158.49 | $323.59 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $3,630.78 | Facility | None | $371.54 | $691.83 | $3,630.78 |
United Setting Professional Modifier None Typical Low $48.98 Median $131.83 Typical High $302.00 | Professional | None | $48.98 | $131.83 | $302.00 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $162.18 Typical High $389.05 | Professional | None | $38.02 | $162.18 | $389.05 |
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 $27.54 Median $60.26 Typical High $125.89 | Professional | 52 · Reduced service | $27.54 | $60.26 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $23.99 Typical High $51.29 | Professional | 53 · Discontinued | $10.96 | $23.99 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $91.20 Typical High $190.55 | Professional | 54 · Surgery only | $41.69 | $91.20 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $18.20 Typical High $38.02 | Professional | 55 · Aftercare only | $8.32 | $18.20 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $12.02 Typical High $25.70 | Professional | 56 · Pre-op care only | $5.50 | $12.02 | $25.70 |
Where Washington sits
The same service costs 4.6 times more in Wisconsin 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· 2nd of 51
$224
WI $240DC $52.48
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.