How much rates vary
Facilitymedian $2,239 · 10th to 90th $794 to $13,183Professionalmedian $2,291 · 10th to 90th $339 to $7,943
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 $691.83 Median $6,165.95 Typical High $20,892.96 | Facility | None | $691.83 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,412.54 Typical High $3,090.30 | Professional | None | $407.38 | $1,412.54 | $3,090.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $263.03 Median $9,332.54 Typical High $19,952.62 | Facility | None | $263.03 | $9,332.54 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $3,311.31 Typical High $29,512.09 | Professional | None | $575.44 | $3,311.31 | $29,512.09 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $4,466.84 | Facility | None | $707.95 | $2,344.23 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,258.93 Typical High $4,570.88 | Professional | None | $446.68 | $1,258.93 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $2,454.71 Typical High $4,466.84 | Professional | None | $691.83 | $2,454.71 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $2,570.40 Typical High $8,128.31 | Professional | None | $316.23 | $2,570.40 | $8,128.31 |
Pacific Source Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $3,630.78 | Facility | None | $2,041.74 | $3,162.28 | $3,630.78 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,479.11 Typical High $2,570.40 | Facility | None | $794.33 | $1,479.11 | $2,570.40 |
Premera BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $2,290.87 | Professional | None | $524.81 | $524.81 | $2,290.87 |
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 $512.86 Median $1,584.89 Typical High $4,073.80 | Professional | None | $512.86 | $1,584.89 | $4,073.80 |
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 $501.19 Median $1,698.24 Typical High $4,570.88 | Professional | None | $501.19 | $1,698.24 | $4,570.88 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $5,011.87 | Professional | None | $478.63 | $741.31 | $5,011.87 |
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 $245.47 Median $741.31 Typical High $1,318.26 | Professional | 52 · Reduced service | $245.47 | $741.31 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $302.00 Typical High $524.81 | Professional | 53 · Discontinued | $97.72 | $302.00 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $1,122.02 Typical High $1,949.84 | Professional | 54 · Surgery only | $371.54 | $1,122.02 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $223.87 Typical High $389.05 | Professional | 55 · Aftercare only | $74.13 | $223.87 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $151.36 Typical High $263.03 | Professional | 56 · Pre-op care only | $48.98 | $151.36 | $263.03 |
Where Washington sits
The same service costs 3.6 times more in Iowa than in Nebraska. 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· 7th of 51
$2,291
IA $2,692NE $741
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.