How much rates vary
Facilitymedian $1,259 · 10th to 90th $447 to $10,233Professionalmedian $115 · 10th to 90th $27 to $219
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 $158.49 Median $6,165.95 Typical High $20,892.96 | Facility | None | $158.49 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $794.33 Typical High $10,964.78 | Facility | None | $50.12 | $794.33 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $100.00 Median $1,122.02 Typical High $1,698.24 | Professional | None | $100.00 | $1,122.02 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,659.59 Typical High $2,951.21 | Facility | None | $467.74 | $1,659.59 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $223.87 | Professional | None | $89.13 | $114.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $2,630.27 | Professional | None | $114.82 | $190.55 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $112.20 Typical High $194.98 | Professional | None | $19.50 | $112.20 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $144.54 | Facility | None | $87.10 | $144.54 | $144.54 |
Premera BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,202.26 Typical High $2,089.30 | Facility | None | $575.44 | $1,202.26 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $204.17 | Professional | None | $100.00 | $144.54 | $204.17 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $11,220.18 | Facility | None | $588.84 | $977.24 | $11,220.18 |
United Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $229.09 | Professional | None | $91.20 | $125.89 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $138.04 | Professional | None | $91.20 | $95.50 | $138.04 |
6 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 $48.98 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | 54 · Surgery only | $72.44 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $10.47 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $12,589.25 Typical High $23,442.29 | Facility | 50 · Both sides | $8,317.64 | $12,589.25 | $23,442.29 |
Where Washington sits
The same service costs 11.2 times more in Tennessee 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· 27th of 51
$123
TN $832NY $74.13
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.