How much rates vary
Facilitymedian $219 · 10th to 90th $72 to $1,288Professionalmedian $204 · 10th to 90th $69 to $380
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 $104.71 Median $3,548.13 Typical High $20,417.38 | Facility | None | $104.71 | $3,548.13 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $181.97 | Professional | None | $89.13 | $120.23 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $851.14 Typical High $1,778.28 | Facility | None | $60.26 | $851.14 | $1,778.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $134.90 Median $275.42 Typical High $1,202.26 | Professional | None | $134.90 | $275.42 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $194.98 Typical High $630.96 | Facility | None | $102.33 | $194.98 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $338.84 | Professional | None | $109.65 | $154.88 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $181.97 Typical High $309.03 | Professional | None | $104.71 | $181.97 | $309.03 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $223.87 Typical High $389.05 | Professional | None | $38.02 | $223.87 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $263.03 | Facility | None | $190.55 | $239.88 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $147.91 | Facility | None | $52.48 | $79.43 | $147.91 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $181.97 | Professional | None | $123.03 | $123.03 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $1,778.28 | Facility | None | $676.08 | $933.25 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $323.59 | Professional | None | $120.23 | $199.53 | $323.59 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,230.27 | Facility | None | $134.90 | $346.74 | $1,230.27 |
United Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $354.81 | Professional | None | $117.49 | $181.97 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $194.98 | Professional | None | $109.65 | $162.18 | $194.98 |
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 $52.48 Median $58.88 Typical High $77.62 | Professional | 52 · Reduced service | $52.48 | $58.88 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $31.62 | Professional | 53 · Discontinued | $20.89 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $89.13 Typical High $117.49 | Professional | 54 · Surgery only | $77.62 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $17.78 Typical High $23.44 | Professional | 55 · Aftercare only | $15.49 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $11.75 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.47 | $11.75 | $15.85 |
Where Washington sits
The same service costs 3.3 times more in Wisconsin 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· 7th of 51
$204
WI $372KY $112
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.