How much rates vary
Facilitymedian $282 · 10th to 90th $102 to $1,096Professionalmedian $240 · 10th to 90th $78 to $479
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 $213.80 Median $5,128.61 Typical High $20,892.96 | Facility | None | $213.80 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $213.80 | Professional | None | $91.20 | $114.82 | $213.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $47.86 Median $645.65 Typical High $1,380.38 | Facility | None | $47.86 | $645.65 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $109.65 Median $338.84 Typical High $1,445.44 | Professional | None | $109.65 | $338.84 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $309.03 Typical High $630.96 | Facility | None | $158.49 | $309.03 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $389.05 | Professional | None | $87.10 | $131.83 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $363.08 | Professional | None | $120.23 | $181.97 | $363.08 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $288.40 Typical High $489.78 | Professional | None | $48.98 | $288.40 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $323.59 | Facility | None | $158.49 | $263.03 | $323.59 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $223.87 | Facility | None | $60.26 | $120.23 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $223.87 | Professional | None | $97.72 | $97.72 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,380.38 | Facility | None | $478.63 | $724.44 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $389.05 | Professional | None | $97.72 | $199.53 | $389.05 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,023.29 | Facility | None | $134.90 | $346.74 | $1,023.29 |
United Setting Professional Modifier None Typical Low $93.33 Median $181.97 Typical High $416.87 | Professional | None | $93.33 | $181.97 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $245.47 | Professional | None | $85.11 | $128.82 | $245.47 |
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 $45.71 Median $70.79 Typical High $107.15 | Professional | 52 · Reduced service | $45.71 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.18 Typical High $42.66 | Professional | 53 · Discontinued | $18.20 | $28.18 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $104.71 Typical High $162.18 | Professional | 54 · Surgery only | $67.61 | $104.71 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $20.89 Typical High $32.36 | Professional | 55 · Aftercare only | $13.49 | $20.89 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $14.13 Typical High $21.38 | Professional | 56 · Pre-op care only | $9.12 | $14.13 | $21.38 |
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· 4th of 51
$245
WI $380KY $105
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.