How much rates vary
Facilitymedian $170 · 10th to 90th $62 to $1,318Professionalmedian $112 · 10th to 90th $55 to $240
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 $89.13 Median $4,677.35 Typical High $20,892.96 | Facility | None | $89.13 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $117.49 | Professional | None | $54.95 | $102.33 | $117.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.84 Median $794.33 Typical High $1,621.81 | Facility | None | $28.84 | $794.33 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $1,023.29 | Professional | None | $61.66 | $112.20 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $134.90 Typical High $630.96 | Facility | None | $70.79 | $134.90 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $158.49 | Professional | None | $85.11 | $114.82 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $208.93 | Professional | None | $64.57 | $107.15 | $208.93 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $144.54 Typical High $257.04 | Professional | None | $38.90 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $223.87 | Facility | None | $131.83 | $158.49 | $223.87 |
Premera BCBS Setting Facility Modifier None Typical Low $48.98 Median $66.07 Typical High $109.65 | Facility | None | $48.98 | $66.07 | $109.65 |
Premera BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $112.20 | Professional | None | $61.66 | $61.66 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,621.81 | Facility | None | $575.44 | $870.96 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $165.96 | Professional | None | $61.66 | $112.20 | $165.96 |
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 $56.23 Median $95.50 Typical High $173.78 | Professional | None | $56.23 | $95.50 | $173.78 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $79.43 Typical High $114.82 | Professional | None | $38.90 | $79.43 | $114.82 |
6 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 $26.92 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $26.92 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $16.22 Typical High $20.42 | Professional | 53 · Discontinued | $10.96 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $60.26 Typical High $77.62 | Professional | 54 · Surgery only | $40.74 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.02 Typical High $15.49 | Professional | 55 · Aftercare only | $8.13 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $8.13 Typical High $10.23 | Professional | 56 · Pre-op care only | $5.50 | $8.13 | $10.23 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $870.96 Median $1,288.25 Typical High $2,454.71 | Facility | 50 · Both sides | $870.96 | $1,288.25 | $2,454.71 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in Virginia. 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· 15th of 51
$115
AK $182VA $60.26
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.