How much rates vary
Facilitymedian $1,820 · 10th to 90th $200 to $10,715Professionalmedian $204 · 10th to 90th $51 to $372
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 $112.20 Median $117.49 Typical High $7,943.28 | Facility | None | $112.20 | $117.49 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $162.18 | Professional | None | $91.20 | $112.20 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $173.78 Typical High $181.97 | Professional | None | $41.69 | $173.78 | $181.97 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $8,317.64 Typical High $17,378.01 | Facility | None | $70.79 | $8,317.64 | $17,378.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $1,513.56 | Professional | None | $141.25 | $263.03 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $4,073.80 | Facility | None | $467.74 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $302.00 | Professional | None | $123.03 | $147.91 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $3,630.78 | Professional | None | $147.91 | $257.04 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $208.93 Typical High $371.54 | Professional | None | $38.02 | $208.93 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $204.17 | Facility | None | $120.23 | $194.98 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,548.82 Typical High $2,818.38 | Facility | None | $812.83 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $9,120.11 Typical High $17,378.01 | Facility | None | $6,025.60 | $9,120.11 | $17,378.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $281.84 | Professional | None | $141.25 | $204.17 | $281.84 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,589.25 | Facility | None | $1,202.26 | $1,949.84 | $12,589.25 |
United Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $316.23 | Professional | None | $128.82 | $177.83 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $186.21 | Professional | None | $123.03 | $128.82 | $186.21 |
4 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 $53.70 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $53.70 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.72 | $11.22 | $11.22 |
Where Washington sits
The same service costs 7.9 times more in Kansas 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· 11th of 51
$209
KS $832NY $105
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.