How much rates vary
Facilitymedian $380 · 10th to 90th $141 to $1,318Professionalmedian $617 · 10th to 90th $200 to $1,122
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 $457.09 Median $5,128.61 Typical High $20,892.96 | Facility | None | $457.09 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $457.09 | Professional | None | $331.13 | $426.58 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $208.93 Median $933.25 Typical High $1,862.09 | Facility | None | $208.93 | $933.25 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $416.87 Median $891.25 Typical High $3,548.13 | Professional | None | $416.87 | $891.25 | $3,548.13 |
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 $371.54 Median $512.86 Typical High $1,023.29 | Professional | None | $371.54 | $512.86 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $602.56 Typical High $954.99 | Professional | None | $245.47 | $602.56 | $954.99 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $645.65 Typical High $1,096.48 | Professional | None | $112.20 | $645.65 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $812.83 | Facility | None | $467.74 | $758.58 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $186.21 Typical High $346.74 | Facility | None | $69.18 | $186.21 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $549.54 | Professional | None | $426.58 | $426.58 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $1,778.28 | Facility | None | $616.60 | $933.25 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $954.99 | Professional | None | $416.87 | $660.69 | $954.99 |
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 $398.11 Median $616.60 Typical High $1,096.48 | Professional | None | $398.11 | $616.60 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $562.34 | Professional | None | $363.08 | $537.03 | $562.34 |
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 $165.96 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $66.07 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $309.03 Typical High $338.84 | Professional | 54 · Surgery only | $251.19 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $67.61 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $33.11 | $41.69 | $45.71 |
Where Washington sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 8th of 51
$603
AK $977KY $339
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.