How much rates vary
Facilitymedian $1,698 · 10th to 90th $589 to $10,233Professionalmedian $234 · 10th to 90th $123 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 $169.82 Median $6,165.95 Typical High $20,892.96 | Facility | None | $169.82 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $263.03 | Professional | None | $125.89 | $144.54 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $63.10 Median $1,000.00 Typical High $10,715.19 | Facility | None | $63.10 | $1,000.00 | $10,715.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $144.54 Median $354.81 Typical High $1,659.59 | Professional | None | $144.54 | $354.81 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,862.09 Typical High $3,388.44 | Facility | None | $630.96 | $1,862.09 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $295.12 | Professional | None | $109.65 | $173.78 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $2,238.72 | Professional | None | $107.15 | $213.80 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $426.58 | Professional | None | $128.82 | $245.47 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $354.81 | Facility | None | $204.17 | $288.40 | $354.81 |
Premera BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,412.54 Typical High $2,398.83 | Facility | None | $831.76 | $1,412.54 | $2,398.83 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $245.47 | Professional | None | $123.03 | $245.47 | $245.47 |
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 $144.54 Median $251.19 Typical High $354.81 | Professional | None | $144.54 | $251.19 | $354.81 |
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 $114.82 Median $194.98 Typical High $316.23 | Professional | None | $114.82 | $194.98 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $186.21 Typical High $426.58 | Professional | None | $85.11 | $186.21 | $426.58 |
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 $61.66 Median $69.18 Typical High $131.83 | Professional | 52 · Reduced service | $61.66 | $69.18 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $52.48 | Professional | 53 · Discontinued | $25.12 | $27.54 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $102.33 Typical High $199.53 | Professional | 54 · Surgery only | $93.33 | $102.33 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.42 Typical High $39.81 | Professional | 55 · Aftercare only | $18.62 | $20.42 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $26.30 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $26.30 |
Where Washington sits
The same service costs 3.6 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· 10th of 51
$240
AK $407DC $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.