How much rates vary
Facilitymedian $1,950 · 10th to 90th $676 to $13,183Professionalmedian $490 · 10th to 90th $117 to $933
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 $436.52 Median $11,220.18 Typical High $21,877.62 | Facility | None | $436.52 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | None | $436.52 | $436.52 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $1,513.56 Typical High $13,489.63 | Facility | None | $229.09 | $1,513.56 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $457.09 Median $851.14 Typical High $3,235.94 | Professional | None | $457.09 | $851.14 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,265.80 | Facility | None | $707.95 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $954.99 | Professional | None | $416.87 | $478.63 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $3,630.78 | Professional | None | $524.81 | $851.14 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $478.63 Typical High $851.14 | Professional | None | $81.28 | $478.63 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $676.08 | Facility | None | $524.81 | $660.69 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,621.81 Typical High $2,884.03 | Facility | None | $831.76 | $1,621.81 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $10,000.00 Typical High $19,498.45 | Facility | None | $6,760.83 | $10,000.00 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $933.25 | Professional | None | $457.09 | $660.69 | $933.25 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $13,803.84 | Facility | None | $1,202.26 | $1,949.84 | $13,803.84 |
United Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $1,047.13 | Professional | None | $426.58 | $588.84 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $616.60 | Professional | None | $407.38 | $426.58 | $616.60 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 53 · Discontinued | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 54 · Surgery only | $323.59 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $44.67 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,232.93 Median $15,135.61 Typical High $28,840.32 | Facility | 50 · Both sides | $10,232.93 | $15,135.61 | $28,840.32 |
Where Washington sits
The same service costs 4.7 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· 25th of 51
$550
AK $1,622NY $347
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.