How much rates vary
Facilitymedian $302 · 10th to 90th $135 to $1,202Professionalmedian $275 · 10th to 90th $65 to $525
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 $218.78 Median $7,943.28 Typical High $27,542.29 | Facility | None | $218.78 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $354.81 | Professional | None | $208.93 | $218.78 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $134.90 Median $891.25 Typical High $1,778.28 | Facility | None | $134.90 | $891.25 | $1,778.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $275.42 Median $1,513.56 Typical High $1,584.89 | Professional | None | $275.42 | $1,513.56 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $257.04 Typical High $436.52 | Facility | None | $66.07 | $257.04 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $588.84 | Professional | None | $239.88 | $275.42 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $478.63 | Professional | None | $204.17 | $354.81 | $478.63 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $263.03 Typical High $467.74 | Professional | None | $47.86 | $263.03 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $407.38 | Facility | None | $288.40 | $380.19 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $309.03 | Facility | None | $128.82 | $181.97 | $309.03 |
Premera BCBS Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
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 $275.42 Median $398.11 Typical High $549.54 | Professional | None | $275.42 | $398.11 | $549.54 |
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 $251.19 Median $346.74 Typical High $616.60 | Professional | None | $251.19 | $346.74 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $354.81 | Professional | None | $234.42 | $245.47 | $354.81 |
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 $104.71 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $154.88 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $20.89 | $21.88 | $21.88 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 25th of 51
$275
AK $631UT $195
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.