How much rates vary
Facilitymedian $2,138 · 10th to 90th $724 to $12,023Professionalmedian $209 · 10th to 90th $51 to $407
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 $151.36 Median $11,220.18 Typical High $25,118.86 | Facility | None | $151.36 | $11,220.18 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $194.98 | Professional | None | $131.83 | $144.54 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $1,584.89 Typical High $12,022.64 | Facility | None | $91.20 | $1,584.89 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $181.97 Median $1,071.52 Typical High $1,071.52 | Professional | None | $181.97 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $4,265.80 | Facility | None | $1,000.00 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $380.19 | Professional | None | $158.49 | $181.97 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $338.84 Typical High $3,630.78 | Professional | None | $190.55 | $338.84 | $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 $194.98 Median $251.19 Typical High $263.03 | Facility | None | $194.98 | $251.19 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,548.82 Typical High $2,818.38 | Facility | None | $776.25 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
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 $181.97 Median $263.03 Typical High $371.54 | Professional | None | $181.97 | $263.03 | $371.54 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,589.25 | Facility | None | $1,513.56 | $2,570.40 | $12,589.25 |
United Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $416.87 | Professional | None | $162.18 | $229.09 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | None | $158.49 | $165.96 | $239.88 |
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 $69.18 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $27.54 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $104.71 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $20.89 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $13.80 | $14.45 | $14.45 |
Where Washington sits
The same service costs 10.7 times more in Oklahoma 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· 20th of 51
$229
OK $1,413NY $132
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.