How much rates vary
Facilitymedian $275 · 10th to 90th $33 to $2,138Professionalmedian $85 · 10th to 90th $29 to $182
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 $33.88 Median $4,265.80 Typical High $20,892.96 | Facility | None | $33.88 | $4,265.80 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $63.10 | Professional | None | $30.90 | $40.74 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $346.74 | Facility | None | $19.05 | $19.05 | $346.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $44.67 Median $85.11 Typical High $512.86 | Professional | None | $44.67 | $85.11 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $512.86 Typical High $2,137.96 | Facility | None | $467.74 | $512.86 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $97.72 | Professional | None | $35.48 | $48.98 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $91.20 | Professional | None | $39.81 | $69.18 | $91.20 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $112.20 Typical High $194.98 | Professional | None | $19.05 | $112.20 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $75.86 | Facility | None | $44.67 | $72.44 | $75.86 |
Premera BCBS Setting Facility Modifier None Typical Low $13.49 Median $16.60 Typical High $51.29 | Facility | None | $13.49 | $16.60 | $51.29 |
Premera BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | None | $39.81 | $39.81 | $52.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $346.74 | Facility | None | $275.42 | $275.42 | $346.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $93.33 | Professional | None | $39.81 | $63.10 | $93.33 |
United Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $602.56 | Facility | None | $125.89 | $302.00 | $602.56 |
United Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $104.71 | Professional | None | $38.02 | $58.88 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $56.23 | Professional | None | $33.88 | $51.29 | $56.23 |
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 $16.98 Median $19.05 Typical High $22.91 | Professional | 52 · Reduced service | $16.98 | $19.05 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.76 Typical High $9.33 | Professional | 53 · Discontinued | $6.76 | $7.76 | $9.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $28.84 Typical High $34.67 | Professional | 54 · Surgery only | $25.12 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.75 Typical High $6.92 | Professional | 55 · Aftercare only | $5.01 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.80 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.39 | $3.80 | $4.57 |
Where Washington sits
The same service costs 3.3 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· 3rd of 51
$87.10
AK $117KY $35.48
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.