How much rates vary
Facilitymedian $4,786 · 10th to 90th $708 to $31,623Professionalmedian $676 · 10th to 90th $468 to $3,548
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 $478.63 Median $11,220.18 Typical High $21,877.62 | Facility | None | $478.63 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $24,547.09 Typical High $52,480.75 | Facility | None | $331.13 | $24,547.09 | $52,480.75 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $1,412.54 Typical High $3,801.89 | Professional | None | $501.19 | $1,412.54 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,772.37 Typical High $18,197.01 | Facility | None | $707.95 | $9,772.37 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,348.96 | Professional | None | $524.81 | $954.99 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $933.25 Typical High $15,488.17 | Professional | None | $338.84 | $933.25 | $15,488.17 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $478.63 | Facility | None | $363.08 | $436.52 | $478.63 |
Premera BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $12,302.69 | Facility | None | $3,388.44 | $5,248.07 | $12,302.69 |
Premera BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
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 $501.19 Median $851.14 Typical High $1,288.25 | Professional | None | $501.19 | $851.14 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $37,153.52 | Facility | None | $1,202.26 | $1,949.84 | $37,153.52 |
United Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $1,380.38 | Professional | None | $467.74 | $645.65 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $676.08 | Professional | None | $251.19 | $363.08 | $676.08 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Where Washington sits
The same service costs 5.9 times more in Arkansas 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· 14th of 51
$955
AR $1,995NY $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.