How much rates vary
Facilitymedian $562 · 10th to 90th $269 to $2,754Professionalmedian $209 · 10th to 90th $50 to $389
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 $138.04 Median $6,165.95 Typical High $20,892.96 | Facility | None | $138.04 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | None | $138.04 | $138.04 | $144.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $83.18 Median $1,862.09 Typical High $3,801.89 | Facility | None | $83.18 | $1,862.09 | $3,801.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $154.88 Median $794.33 Typical High $1,000.00 | Professional | None | $154.88 | $794.33 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,023.29 | Facility | None | $467.74 | $588.84 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $338.84 | Professional | None | $138.04 | $154.88 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $812.83 | Professional | None | $165.96 | $288.40 | $812.83 |
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 $131.83 Median $194.98 Typical High $229.09 | Facility | None | $131.83 | $194.98 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $645.65 | Facility | None | $275.42 | $398.11 | $645.65 |
Premera BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,801.89 | Facility | None | $1,548.82 | $2,041.74 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $316.23 | Professional | None | $154.88 | $229.09 | $316.23 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,754.23 | Facility | None | $371.54 | $691.83 | $2,754.23 |
United Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $354.81 | Professional | None | $138.04 | $194.98 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $223.87 | Professional | None | $147.91 | $154.88 | $223.87 |
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 $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $27.54 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 54 · Surgery only | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $14.45 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $14.45 |
Where Washington sits
The same service costs 4.4 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· 19th of 51
$224
AK $513KY $117
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.