How much rates vary
Facilitymedian $148 · 10th to 90th $15 to $977Professionalmedian $166 · 10th to 90th $33 to $324
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 $162.18 Median $6,165.95 Typical High $20,892.96 | Facility | None | $162.18 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | 26 · Professional part | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | TC · Technical part | $19.50 | $19.50 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $93.33 Median $660.69 Typical High $1,380.38 | Facility | None | $93.33 | $660.69 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $1,047.13 Typical High $1,202.26 | Professional | None (both parts) | $165.96 | $1,047.13 | $1,202.26 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $794.33 Typical High $912.01 | Professional | 26 · Professional part | $144.54 | $794.33 | $912.01 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $707.95 | Professional | TC · Technical part | $19.50 | $37.15 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $24.55 Typical High $50.12 | Facility | None | $18.20 | $24.55 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $144.54 | $165.96 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $162.18 Typical High $316.23 | Professional | 26 · Professional part | $131.83 | $162.18 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.60 Typical High $44.67 | Professional | TC · Technical part | $13.49 | $16.60 | $44.67 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $19.05 Median $128.82 Typical High $281.84 | Professional | None (both parts) | $19.05 | $128.82 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $28.18 | $165.96 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $19.95 Median $181.97 Typical High $239.88 | Facility | None | $19.95 | $181.97 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $83.18 | Facility | None | $10.72 | $16.60 | $83.18 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $19.95 | $19.95 | $19.95 |
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 (both parts) Typical Low $165.96 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $165.96 | $239.88 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $208.93 Typical High $288.40 | Professional | 26 · Professional part | $144.54 | $208.93 | $288.40 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $28.18 | $39.81 |
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 (both parts) Typical Low $151.36 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $151.36 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $331.13 | Professional | 26 · Professional part | $134.90 | $186.21 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.42 Typical High $45.71 | Professional | TC · Technical part | $14.79 | $20.42 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $169.82 | $177.83 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $154.88 Typical High $223.87 | Professional | 26 · Professional part | $147.91 | $154.88 | $223.87 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $21.88 | $33.88 |
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 $79.43 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $79.43 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $32.36 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | 54 · Surgery only | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $17.38 |
Where Washington sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 26th of 51
$166
AK $490AL $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.