How much rates vary
Facilitymedian $2,089 · 10th to 90th $708 to $13,183Professionalmedian $692 · 10th to 90th $69 to $1,950
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 $812.83 Median $6,456.54 Typical High $20,892.96 | Facility | None | $812.83 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $165.96 Median $9,772.37 Typical High $19,952.62 | Facility | None | $165.96 | $9,772.37 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $380.19 Median $870.96 Typical High $3,890.45 | Professional | None | $380.19 | $870.96 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $4,265.80 | Facility | None | $707.95 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $831.76 Typical High $1,230.27 | Professional | None | $302.00 | $831.76 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $776.25 Typical High $3,388.44 | Professional | None | $52.48 | $776.25 | $3,388.44 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $47.86 | Facility | None | $37.15 | $43.65 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,348.96 | $1,778.28 | $3,090.30 |
Premera BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,762.47 Median $10,232.93 Typical High $19,498.45 | Facility | None | $7,762.47 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $1,096.48 | Professional | None | $363.08 | $501.19 | $1,096.48 |
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 $112.20 Median $912.01 Typical High $1,819.70 | Professional | None | $112.20 | $912.01 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $67.61 | Professional | None | $38.02 | $56.23 | $67.61 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Where Washington sits
The same service costs 53.7 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
$912
AK $2,692NY $50.12
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.