How much rates vary
Facilitymedian $562 · 10th to 90th $269 to $2,754Professionalmedian $155 · 10th to 90th $37 to $309
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 $131.83 Median $6,165.95 Typical High $20,892.96 | Facility | None | $131.83 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | None | $131.83 | $131.83 | $138.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $1,862.09 Typical High $3,801.89 | Facility | None | $79.43 | $1,862.09 | $3,801.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $147.91 Median $831.76 Typical High $954.99 | Professional | None | $147.91 | $831.76 | $954.99 |
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 $128.82 Median $147.91 Typical High $323.59 | Professional | None | $128.82 | $147.91 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $812.83 | Professional | None | $154.88 | $275.42 | $812.83 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $154.88 Typical High $275.42 | Professional | None | $28.18 | $154.88 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $208.93 | Facility | None | $162.18 | $190.55 | $208.93 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
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 $147.91 Median $213.80 Typical High $302.00 | Professional | None | $147.91 | $213.80 | $302.00 |
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 $128.82 Median $181.97 Typical High $338.84 | Professional | None | $128.82 | $181.97 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $213.80 | Professional | None | $141.25 | $147.91 | $213.80 |
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 $66.07 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 54 · Surgery only | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.80 |
Where Washington sits
The same service costs 4.4 times more in Alaska 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· 27th of 51
$174
AK $479NY $110
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.