How much rates vary
Facilitymedian $200 · 10th to 90th $66 to $617Professionalmedian $126 · 10th to 90th $63 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 $58.88 Median $436.52 Typical High $9,332.54 | Facility | None | $58.88 | $436.52 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $162.18 | Professional | None | $53.70 | $81.28 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $93.33 Typical High $218.78 | Professional | None | $40.74 | $93.33 | $218.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $33.11 Median $165.96 Typical High $218.78 | Facility | None | $33.11 | $165.96 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $75.86 Median $234.42 Typical High $912.01 | Professional | None | $75.86 | $234.42 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $281.84 | Professional | None | $63.10 | $91.20 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $269.15 | Professional | None | $75.86 | $120.23 | $269.15 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $812.83 | Professional | None | $331.13 | $549.54 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $213.80 | Facility | None | $104.71 | $173.78 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $151.36 | Professional | None | $69.18 | $69.18 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $218.78 | Facility | None | $138.04 | $165.96 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $263.03 | Professional | None | $69.18 | $141.25 | $263.03 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $602.56 | Facility | None | $125.89 | $295.12 | $602.56 |
United Setting Professional Modifier None Typical Low $67.61 Median $123.03 Typical High $288.40 | Professional | None | $67.61 | $123.03 | $288.40 |
Wellpoint Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $154.88 | Professional | None | $58.88 | $89.13 | $154.88 |
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 $29.51 Median $37.15 Typical High $64.57 | Professional | 52 · Reduced service | $29.51 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.14 Typical High $25.70 | Professional | 53 · Discontinued | $11.75 | $15.14 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $56.23 Typical High $95.50 | Professional | 54 · Surgery only | $44.67 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.22 Typical High $19.50 | Professional | 55 · Aftercare only | $8.91 | $11.22 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.41 Typical High $12.88 | Professional | 56 · Pre-op care only | $5.89 | $7.41 | $12.88 |
Where Washington sits
The same service costs 3.2 times more in Alaska 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· 8th of 51
$129
AK $251NY $77.62
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.