How much rates vary
Facilitymedian $302 · 10th to 90th $54 to $933Professionalmedian $166 · 10th to 90th $56 to $347
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 $56.23 Median $4,265.80 Typical High $20,892.96 | Facility | None | $56.23 | $4,265.80 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $81.28 Typical High $181.97 | Professional | None | $46.77 | $81.28 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $269.15 | Professional | None | $123.03 | $218.78 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $338.84 Typical High $707.95 | Facility | None | $30.20 | $338.84 | $707.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $239.88 Typical High $1,122.02 | Professional | None | $64.57 | $239.88 | $1,122.02 |
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 $107.15 Typical High $194.98 | Professional | None | $48.98 | $107.15 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $100.00 Typical High $257.04 | Professional | None | $44.67 | $100.00 | $257.04 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $338.84 | Professional | None | $102.33 | $199.53 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $194.98 Typical High $239.88 | Facility | None | $83.18 | $194.98 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $23.99 Median $30.20 Typical High $162.18 | Facility | None | $23.99 | $30.20 | $162.18 |
Premera BCBS Setting Professional Modifier None Typical Low $56.23 Median $162.18 Typical High $162.18 | Professional | None | $56.23 | $162.18 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Facility | None | $245.47 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $64.57 Median $134.90 Typical High $239.88 | Professional | None | $64.57 | $134.90 | $239.88 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $616.60 | Facility | None | $134.90 | $346.74 | $616.60 |
United Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $199.53 | Professional | None | $50.12 | $109.65 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $40.74 Median $123.03 Typical High $295.12 | Professional | None | $40.74 | $123.03 | $295.12 |
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 $28.18 Median $40.74 Typical High $91.20 | Professional | 52 · Reduced service | $28.18 | $40.74 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $16.60 Typical High $36.31 | Professional | 53 · Discontinued | $11.22 | $16.60 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $61.66 Typical High $134.90 | Professional | 54 · Surgery only | $41.69 | $61.66 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $12.30 Typical High $26.92 | Professional | 55 · Aftercare only | $8.32 | $12.30 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.13 Typical High $18.20 | Professional | 56 · Pre-op care only | $5.62 | $8.13 | $18.20 |
Where Washington sits
The same service costs 3.4 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· 3rd of 51
$170
AK $178DC $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.