How much rates vary
Facilitymedian $162 · 10th to 90th $49 to $1,413Professionalmedian $98 · 10th to 90th $56 to $170
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 $64.57 Median $2,137.96 Typical High $20,417.38 | Facility | None | $64.57 | $2,137.96 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $138.04 | Professional | None | $64.57 | $95.50 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | None | $165.96 | $169.82 | $169.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $794.33 Typical High $1,621.81 | Facility | None | $34.67 | $794.33 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $1,148.15 | Professional | None | $72.44 | $102.33 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $630.96 | Facility | None | $56.23 | $107.15 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $158.49 | Professional | None | $75.86 | $107.15 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $186.21 | Professional | None | $52.48 | $97.72 | $186.21 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $97.72 Typical High $169.82 | Professional | None | $28.84 | $97.72 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $190.55 | Facility | None | $125.89 | $144.54 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $81.28 | Facility | None | $37.15 | $53.70 | $81.28 |
Premera BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | None | $72.44 | $72.44 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,621.81 | Facility | None | $676.08 | $870.96 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $151.36 | Professional | None | $72.44 | $102.33 | $151.36 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,230.27 | Facility | None | $134.90 | $346.74 | $1,230.27 |
United Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $169.82 | Professional | None | $66.07 | $97.72 | $169.82 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $112.20 | Professional | None | $45.71 | $79.43 | $112.20 |
7 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 $32.36 Median $36.31 Typical High $46.77 | Professional | 52 · Reduced service | $32.36 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.45 Typical High $19.05 | Professional | 53 · Discontinued | $12.88 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $54.95 Typical High $70.79 | Professional | 54 · Surgery only | $48.98 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.96 Typical High $14.13 | Professional | 55 · Aftercare only | $9.77 | $10.96 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.24 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.46 | $7.24 | $9.55 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $112.20 Typical High $120.23 | Professional | 50 · Both sides | $66.07 | $112.20 | $120.23 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,000.00 Median $1,288.25 Typical High $2,454.71 | Facility | 50 · Both sides | $1,000.00 | $1,288.25 | $2,454.71 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 16th of 51
$100
AK $214TX $67.61
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.