How much rates vary
Facilitymedian $912 · 10th to 90th $407 to $6,166Professionalmedian $302 · 10th to 90th $105 to $575
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 $288.40 Median $5,128.61 Typical High $20,892.96 | Facility | None | $288.40 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $302.00 | Professional | None | $128.82 | $208.93 | $302.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $794.33 Typical High $6,165.95 | Facility | None | $77.62 | $794.33 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $162.18 Median $346.74 Typical High $3,548.13 | Professional | None | $162.18 | $346.74 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,819.70 | Facility | None | $467.74 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $524.81 | Professional | None | $151.36 | $239.88 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $407.38 Typical High $1,412.54 | Professional | None | $199.53 | $407.38 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $338.84 Typical High $588.84 | Professional | None | $58.88 | $338.84 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $398.11 | Facility | None | $245.47 | $363.08 | $398.11 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,318.26 | Facility | None | $549.54 | $741.31 | $1,318.26 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | None | $165.96 | $165.96 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,235.94 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $275.42 Typical High $501.19 | Professional | None | $162.18 | $275.42 | $501.19 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,456.54 | Facility | None | $588.84 | $977.24 | $6,456.54 |
United Setting Professional Modifier None Typical Low $158.49 Median $275.42 Typical High $537.03 | Professional | None | $158.49 | $275.42 | $537.03 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $295.12 | Professional | None | $141.25 | $213.80 | $295.12 |
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 $81.28 Median $104.71 Typical High $144.54 | Professional | 52 · Reduced service | $81.28 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $41.69 Typical High $57.54 | Professional | 53 · Discontinued | $32.36 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $154.88 Typical High $213.80 | Professional | 54 · Surgery only | $120.23 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $31.62 Typical High $42.66 | Professional | 55 · Aftercare only | $23.99 | $31.62 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $20.89 Typical High $28.84 | Professional | 56 · Pre-op care only | $16.22 | $20.89 | $28.84 |
Where Washington sits
The same service costs 4.0 times more in Alaska 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· 10th of 51
$316
AK $631KY $158
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.