How much rates vary
Facilitymedian $234 · 10th to 90th $83 to $1,318Professionalmedian $209 · 10th to 90th $89 to $398
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 $144.54 Median $4,570.88 Typical High $20,892.96 | Facility | None | $144.54 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $239.88 | Professional | None | $102.33 | $141.25 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $316.23 | Professional | None | $199.53 | $245.47 | $316.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $67.61 Median $851.14 Typical High $1,778.28 | Facility | None | $67.61 | $851.14 | $1,778.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $1,318.26 | Professional | None | $151.36 | $316.23 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $630.96 | Facility | None | $107.15 | $208.93 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $380.19 | Professional | None | $120.23 | $169.82 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $354.81 | Professional | None | $114.82 | $204.17 | $354.81 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $223.87 Typical High $389.05 | Professional | None | $38.90 | $223.87 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $302.00 | Facility | None | $194.98 | $263.03 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $89.13 Typical High $169.82 | Facility | None | $61.66 | $89.13 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | None | $138.04 | $138.04 | $208.93 |
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 $138.04 Median $223.87 Typical High $371.54 | Professional | None | $138.04 | $223.87 | $371.54 |
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 $131.83 Median $208.93 Typical High $407.38 | Professional | None | $131.83 | $208.93 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $213.80 | Professional | None | $120.23 | $177.83 | $213.80 |
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 $58.88 Median $67.61 Typical High $91.20 | Professional | 52 · Reduced service | $58.88 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $36.31 | Professional | 53 · Discontinued | $23.44 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $102.33 Typical High $134.90 | Professional | 54 · Surgery only | $87.10 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $20.42 Typical High $27.54 | Professional | 55 · Aftercare only | $17.38 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $13.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $11.75 | $13.49 | $18.20 |
Where Washington sits
The same service costs 3.2 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· 10th of 51
$209
WI $417KY $129
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.