How much rates vary
Facilitymedian $2,512 · 10th to 90th $661 to $17,378Professionalmedian $479 · 10th to 90th $117 to $912
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 $363.08 Median $8,317.64 Typical High $21,877.62 | Facility | None | $363.08 | $8,317.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $602.56 | Professional | None | $363.08 | $363.08 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $245.47 Median $1,548.82 Typical High $19,054.61 | Facility | None | $245.47 | $1,548.82 | $19,054.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $4,786.30 | Professional | None | $426.58 | $794.33 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,884.03 Typical High $5,495.41 | Facility | None | $707.95 | $2,884.03 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $912.01 | Professional | None | $371.54 | $407.38 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $812.83 Typical High $4,786.30 | Professional | None | $524.81 | $812.83 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $478.63 Typical High $851.14 | Professional | None | $81.28 | $478.63 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $758.58 | Facility | None | $512.86 | $602.56 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,290.87 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,549.93 Median $14,454.40 Typical High $27,542.29 | Facility | None | $9,549.93 | $14,454.40 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $851.14 | Professional | None | $426.58 | $616.60 | $851.14 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $19,498.45 | Facility | None | $1,513.56 | $2,570.40 | $19,498.45 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $954.99 | Professional | None | $398.11 | $549.54 | $954.99 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $549.54 | Professional | None | $371.54 | $380.19 | $549.54 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Where Washington sits
The same service costs 10.0 times more in Oklahoma 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· 29th of 51
$525
OK $2,884NY $288
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.