How much rates vary
Facilitymedian $513 · 10th to 90th $269 to $2,630Professionalmedian $204 · 10th to 90th $76 to $389
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 $107.15 Median $4,677.35 Typical High $20,892.96 | Facility | None | $107.15 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $234.42 | Professional | None | $102.33 | $162.18 | $234.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $794.33 Typical High $2,630.27 | Facility | None | $54.95 | $794.33 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $1,819.70 | Professional | None | $107.15 | $223.87 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $501.19 Typical High $851.14 | Facility | None | $407.38 | $501.19 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $363.08 | Professional | None | $95.50 | $154.88 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $602.56 | Professional | None | $125.89 | $263.03 | $602.56 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $229.09 Typical High $389.05 | Professional | None | $39.81 | $229.09 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $295.12 | Facility | None | $186.21 | $251.19 | $295.12 |
Premera BCBS Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $588.84 | Facility | None | $257.04 | $346.74 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $186.21 | Professional | None | $109.65 | $109.65 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,318.26 | $1,995.26 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $331.13 | Professional | None | $107.15 | $186.21 | $331.13 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,691.53 | Facility | None | $371.54 | $691.83 | $2,691.53 |
United Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $363.08 | Professional | None | $107.15 | $186.21 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $204.17 | Professional | None | $100.00 | $151.36 | $204.17 |
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 $51.29 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $51.29 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $30.90 Typical High $37.15 | Professional | 53 · Discontinued | $20.42 | $30.90 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $117.49 Typical High $138.04 | Professional | 54 · Surgery only | $75.86 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $23.44 Typical High $27.54 | Professional | 55 · Aftercare only | $15.14 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $15.49 Typical High $18.62 | Professional | 56 · Pre-op care only | $10.23 | $15.49 | $18.62 |
Where Washington sits
The same service costs 3.6 times more in Wisconsin than in Kentucky. 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· 9th of 51
$214
WI $417KY $115
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.