How much rates vary
Facilitymedian $2,239 · 10th to 90th $513 to $18,197Professionalmedian $537 · 10th to 90th $132 to $1,047
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 $446.68 Median $6,165.95 Typical High $20,892.96 | Facility | None | $446.68 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | None | $446.68 | $446.68 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $870.96 Typical High $19,952.62 | Facility | None | $234.42 | $870.96 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $2,570.40 Typical High $2,630.27 | Professional | None | $478.63 | $2,570.40 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $3,467.37 Typical High $6,456.54 | Facility | None | $467.74 | $3,467.37 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $1,000.00 | Professional | None | $426.58 | $489.78 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $5,754.40 | Professional | None | $549.54 | $891.25 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $537.03 Typical High $954.99 | Professional | None | $91.20 | $537.03 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $707.95 | Facility | None | $416.87 | $676.08 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $2,398.83 Typical High $4,466.84 | Facility | None | $912.01 | $2,398.83 | $4,466.84 |
Premera BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,000.00 Median $15,135.61 Typical High $28,840.32 | Facility | None | $10,000.00 | $15,135.61 | $28,840.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $977.24 | Professional | None | $478.63 | $691.83 | $977.24 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $20,892.96 | Facility | None | $1,202.26 | $1,949.84 | $20,892.96 |
United Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $1,096.48 | Professional | None | $446.68 | $602.56 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $630.96 | Professional | None | $416.87 | $436.52 | $630.96 |
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 $223.87 Median $223.87 Typical High $229.09 | Professional | 52 · Reduced service | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 53 · Discontinued | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | 54 · Surgery only | $338.84 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $45.71 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,135.61 Median $22,908.68 Typical High $42,657.95 | Facility | 50 · Both sides | $15,135.61 | $22,908.68 | $42,657.95 |
Where Washington sits
The same service costs 7.8 times more in Oklahoma 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
$575
OK $2,630NY $339
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.