How much rates vary
Facilitymedian $389 · 10th to 90th $145 to $1,318Professionalmedian $741 · 10th to 90th $182 to $1,413
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 $562.34 Median $6,165.95 Typical High $20,892.96 | Facility | None | $562.34 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $660.69 | Professional | None | $524.81 | $562.34 | $660.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $346.74 Median $933.25 Typical High $2,089.30 | Facility | None | $346.74 | $933.25 | $2,089.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $707.95 Median $3,630.78 Typical High $4,073.80 | Professional | None | $707.95 | $3,630.78 | $4,073.80 |
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 $616.60 Median $691.83 Typical High $1,445.44 | Professional | None | $616.60 | $691.83 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $660.69 Typical High $1,230.27 | Professional | None | $229.09 | $660.69 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $741.31 Typical High $1,288.25 | Professional | None | $134.90 | $741.31 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $616.60 Median $891.25 Typical High $1,047.13 | Facility | None | $616.60 | $891.25 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $346.74 | Facility | None | $128.82 | $181.97 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $707.95 Median $1,023.29 Typical High $1,412.54 | Professional | None | $707.95 | $1,023.29 | $1,412.54 |
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 $602.56 Median $891.25 Typical High $1,621.81 | Professional | None | $602.56 | $891.25 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $912.01 | Professional | None | $602.56 | $630.96 | $912.01 |
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 $269.15 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $269.15 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $107.15 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $407.38 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $53.70 | $56.23 | $56.23 |
Where Washington sits
The same service costs 3.2 times more in Alaska 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.
Washington· 14th of 51
$724
AK $1,380AR $427
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.