How much rates vary
Facilitymedian $617 · 10th to 90th $229 to $3,467Professionalmedian $229 · 10th to 90th $170 to $1,905
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 $6,165.95 Typical High $20,892.96 | Facility | None | $288.40 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $288.40 | Professional | None | $128.82 | $173.78 | $288.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $3,090.30 | Facility | None | $100.00 | $794.33 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $199.53 Median $1,905.46 Typical High $2,041.74 | Professional | None | $199.53 | $1,905.46 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $1,318.26 | Facility | None | $467.74 | $707.95 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $416.87 | Professional | None | $169.82 | $199.53 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $1,071.52 | Professional | None | $204.17 | $363.08 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $81.28 Median $134.90 Typical High $269.15 | Facility | None | $81.28 | $134.90 | $269.15 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $398.11 Typical High $758.58 | Facility | None | $165.96 | $398.11 | $758.58 |
Premera BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
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 $199.53 Median $288.40 Typical High $398.11 | Professional | None | $199.53 | $288.40 | $398.11 |
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 $165.96 Median $251.19 Typical High $457.09 | Professional | None | $165.96 | $251.19 | $457.09 |
Wellpoint Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $275.42 | Professional | None | $194.98 | $204.17 | $275.42 |
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 $85.11 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $25.70 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.98 | $17.38 | $17.38 |
Where Washington sits
The same service costs 4.3 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· 12th of 51
$331
AK $603NY $141
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.