How much rates vary
Facilitymedian $2,042 · 10th to 90th $631 to $29,512Professionalmedian $813 · 10th to 90th $195 to $1,622
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 $707.95 Median $6,165.95 Typical High $20,892.96 | Facility | None | $707.95 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | None | $707.95 | $707.95 | $724.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $870.96 Typical High $35,481.34 | Facility | None | $371.54 | $870.96 | $35,481.34 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $758.58 Median $4,073.80 Typical High $4,168.69 | Professional | None | $758.58 | $4,073.80 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,309.57 Typical High $11,748.98 | Facility | None | $707.95 | $6,309.57 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,584.89 | Professional | None | $676.08 | $741.31 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,412.54 Typical High $10,471.29 | Professional | None | $870.96 | $1,412.54 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $812.83 Typical High $1,445.44 | Professional | None | $134.90 | $812.83 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,122.02 | Facility | None | $851.14 | $1,071.52 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $2,951.21 Typical High $8,128.31 | Facility | None | $691.83 | $2,951.21 | $8,128.31 |
Premera BCBS Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $17,782.79 Median $26,302.68 Typical High $51,286.14 | Facility | None | $17,782.79 | $26,302.68 | $51,286.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,548.82 | Professional | None | $758.58 | $1,096.48 | $1,548.82 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $37,153.52 | Facility | None | $588.84 | $977.24 | $37,153.52 |
United Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,737.80 | Professional | None | $691.83 | $954.99 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $1,000.00 | Professional | None | $660.69 | $691.83 | $1,000.00 |
6 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 $354.81 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 54 · Surgery only | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $72.44 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $26,915.35 Median $39,810.72 Typical High $75,857.76 | Facility | 50 · Both sides | $26,915.35 | $39,810.72 | $75,857.76 |
Where Washington sits
The same service costs 3.9 times more in Alaska than in New York. 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· 24th of 51
$851
AK $2,239NY $575
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.