How much rates vary
Facilitymedian $1,380 · 10th to 90th $575 to $7,244Professionalmedian $794 · 10th to 90th $447 to $1,514
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 $707.95 Median $6,165.95 Typical High $20,892.96 | Facility | None | $707.95 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None | $707.95 | $707.95 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $7,413.10 | Facility | None | $407.38 | $870.96 | $7,413.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $14,791.08 | Professional | None | $794.33 | $1,174.90 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,467.37 | Facility | None | $467.74 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,412.54 | Professional | None | $588.84 | $707.95 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $1,445.44 Typical High $2,691.53 | Professional | None | $524.81 | $1,445.44 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $794.33 Typical High $1,348.96 | Professional | None | $234.42 | $794.33 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,174.90 | Facility | None | $645.65 | $1,096.48 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $2,238.72 | Facility | None | $724.44 | $1,318.26 | $2,238.72 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $5,623.41 Typical High $10,715.19 | Facility | None | $3,890.45 | $5,623.41 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,318.26 | Professional | None | $794.33 | $794.33 | $1,318.26 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $7,585.78 | Facility | None | $588.84 | $977.24 | $7,585.78 |
United Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,819.70 | Professional | None | $575.44 | $812.83 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,096.48 | Professional | None | $537.03 | $724.44 | $1,096.48 |
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 $346.74 Median $346.74 Typical High $363.08 | Professional | 52 · Reduced service | $346.74 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | 54 · Surgery only | $524.81 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $72.44 |
Where Washington sits
The same service costs 4.5 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· 28th of 51
$794
AK $2,344KY $525
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.