How much rates vary
Facilitymedian $398 · 10th to 90th $95 to $3,467Professionalmedian $257 · 10th to 90th $98 to $490
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 $141.25 Median $3,548.13 Typical High $20,417.38 | Facility | None | $141.25 | $3,548.13 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $239.88 | Professional | None | $128.82 | $165.96 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $371.54 | Professional | None | $223.87 | $371.54 | $371.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $81.28 Median $2,137.96 Typical High $4,466.84 | Facility | None | $81.28 | $2,137.96 | $4,466.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $1,584.89 | Professional | None | $181.97 | $371.54 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $630.96 | Facility | None | $131.83 | $251.19 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $457.09 | Professional | None | $144.54 | $204.17 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $416.87 | Professional | None | $138.04 | $245.47 | $416.87 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $281.84 Typical High $489.78 | Professional | None | $48.98 | $281.84 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $346.74 | Facility | None | $257.04 | $323.59 | $346.74 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $190.55 | Facility | None | $69.18 | $102.33 | $190.55 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None | $165.96 | $165.96 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,548.82 | $2,344.23 | $4,466.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $436.52 | Professional | None | $165.96 | $269.15 | $436.52 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $3,630.78 | Facility | None | $371.54 | $691.83 | $3,630.78 |
United Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $467.74 | Professional | None | $158.49 | $251.19 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $263.03 | Professional | None | $144.54 | $218.78 | $263.03 |
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 $70.79 Median $79.43 Typical High $104.71 | Professional | 52 · Reduced service | $70.79 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $42.66 | Professional | 53 · Discontinued | $28.18 | $31.62 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $120.23 Typical High $158.49 | Professional | 54 · Surgery only | $104.71 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $23.99 Typical High $31.62 | Professional | 55 · Aftercare only | $20.89 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.85 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.13 | $15.85 | $20.89 |
Where Washington sits
The same service costs 3.7 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· 9th of 51
$257
WI $501KY $135
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.