How much rates vary
Facilitymedian $389 · 10th to 90th $148 to $1,318Professionalmedian $407 · 10th to 90th $126 to $724
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 $309.03 Median $5,128.61 Typical High $20,892.96 | Facility | None | $309.03 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $309.03 | Professional | None | $245.47 | $263.03 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $141.25 Median $707.95 Typical High $1,380.38 | Facility | None | $141.25 | $707.95 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $3,090.30 | Professional | None | $288.40 | $512.86 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $630.96 | Facility | None | $223.87 | $426.58 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $676.08 | Professional | None | $251.19 | $316.23 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $602.56 | Professional | None | $229.09 | $426.58 | $602.56 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $436.52 Typical High $776.25 | Professional | None | $74.13 | $436.52 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $524.81 | Facility | None | $346.74 | $478.63 | $524.81 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $346.74 | Facility | None | $128.82 | $186.21 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | None | $288.40 | $288.40 | $354.81 |
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 $288.40 Median $446.68 Typical High $630.96 | Professional | None | $288.40 | $446.68 | $630.96 |
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 $275.42 Median $398.11 Typical High $724.44 | Professional | None | $275.42 | $398.11 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $371.54 | Professional | None | $251.19 | $346.74 | $371.54 |
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 $123.03 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $48.98 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | 54 · Surgery only | $186.21 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.12 Typical High $30.90 | Professional | 56 · Pre-op care only | $24.55 | $25.12 | $30.90 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 9th of 51
$407
AK $851MD $229
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.