How much rates vary
Facilitymedian $617 · 10th to 90th $123 to $4,571Professionalmedian $224 · 10th to 90th $87 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 $87.10 Median $3,548.13 Typical High $20,417.38 | Facility | None | $87.10 | $3,548.13 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $251.19 | Professional | None | $87.10 | $123.03 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $3,162.28 Typical High $6,456.54 | Facility | None | $45.71 | $3,162.28 | $6,456.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $100.00 Median $338.84 Typical High $1,584.89 | Professional | None | $100.00 | $338.84 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $1,000.00 | Facility | None | $199.53 | $380.19 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $154.88 Typical High $281.84 | Professional | None | $77.62 | $154.88 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $165.96 Typical High $363.08 | Professional | None | $77.62 | $165.96 | $363.08 |
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 $169.82 Median $269.15 Typical High $338.84 | Facility | None | $169.82 | $269.15 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $85.11 Median $144.54 Typical High $251.19 | Facility | None | $85.11 | $144.54 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $89.13 Median $229.09 Typical High $229.09 | Professional | None | $89.13 | $229.09 | $229.09 |
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 $100.00 Median $199.53 Typical High $338.84 | Professional | None | $100.00 | $199.53 | $338.84 |
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 $81.28 Median $165.96 Typical High $281.84 | Professional | None | $81.28 | $165.96 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $61.66 Median $173.78 Typical High $416.87 | Professional | None | $61.66 | $173.78 | $416.87 |
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 $43.65 Median $60.26 Typical High $125.89 | Professional | 52 · Reduced service | $43.65 | $60.26 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $50.12 | Professional | 53 · Discontinued | $17.38 | $24.55 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $91.20 Typical High $190.55 | Professional | 54 · Surgery only | $66.07 | $91.20 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $18.20 Typical High $38.02 | Professional | 55 · Aftercare only | $13.18 | $18.20 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.30 Typical High $25.12 | Professional | 56 · Pre-op care only | $8.71 | $12.30 | $25.12 |
Where Washington sits
The same service costs 3.7 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· 5th of 51
$229
AK $309DC $83.18
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.