How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,000 to $19,055Professionalmedian $2,884 · 10th to 90th $372 to $5,754
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 $288.40 Median $5,128.61 Typical High $26,302.68 | Facility | None | $288.40 | $5,128.61 | $26,302.68 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $1,380.38 Typical High $3,090.30 | Professional | None | $288.40 | $1,380.38 | $3,090.30 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $3,981.07 | Professional | None | $173.78 | $407.38 | $3,981.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $1,548.82 Typical High $19,054.61 | Facility | None | $194.98 | $1,548.82 | $19,054.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $380.19 Median $4,365.16 Typical High $17,378.01 | Professional | None | $380.19 | $4,365.16 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,090.30 Typical High $6,025.60 | Facility | None | $891.25 | $3,090.30 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $831.76 Typical High $5,623.41 | Professional | None | $295.12 | $831.76 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $2,951.21 Typical High $5,495.41 | Professional | None | $467.74 | $2,951.21 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $3,388.44 Typical High $5,888.44 | Professional | None | $588.84 | $3,388.44 | $5,888.44 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $3,630.78 Typical High $4,168.69 | Facility | None | $1,905.46 | $3,630.78 | $4,168.69 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $3,801.89 | Facility | None | $1,548.82 | $2,344.23 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $2,884.03 | Professional | None | $338.84 | $338.84 | $2,884.03 |
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 $331.13 Median $2,089.30 Typical High $5,128.61 | Professional | None | $331.13 | $2,089.30 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $19,498.45 | Facility | None | $1,513.56 | $2,691.53 | $19,498.45 |
United Setting Professional Modifier None Typical Low $338.84 Median $1,659.59 Typical High $5,495.41 | Professional | None | $338.84 | $1,659.59 | $5,495.41 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $2,951.21 | Professional | None | $288.40 | $436.52 | $2,951.21 |
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 $141.25 Median $691.83 Typical High $1,412.54 | Professional | 52 · Reduced service | $141.25 | $691.83 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $275.42 Typical High $575.44 | Professional | 53 · Discontinued | $57.54 | $275.42 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $1,023.29 Typical High $2,137.96 | Professional | 54 · Surgery only | $213.80 | $1,023.29 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $208.93 Typical High $426.58 | Professional | 55 · Aftercare only | $42.66 | $208.93 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $138.04 Typical High $281.84 | Professional | 56 · Pre-op care only | $28.84 | $138.04 | $281.84 |
Where Washington sits
The same service costs 3.2 times more in Wisconsin than in Arkansas. 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.
Physician feeFacility fee
WI $8,898AR $2,804
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.