How much rates vary
Facilitymedian $398 · 10th to 90th $78 to $2,754Professionalmedian $155 · 10th to 90th $71 to $316
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 $69.18 Median $2,754.23 Typical High $20,417.38 | Facility | None | $69.18 | $2,754.23 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $162.18 | Professional | None | $69.18 | $114.82 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $1,862.09 Typical High $3,801.89 | Facility | None | $37.15 | $1,862.09 | $3,801.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $74.13 Median $154.88 Typical High $1,380.38 | Professional | None | $74.13 | $154.88 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $223.87 Typical High $707.95 | Facility | None | $114.82 | $223.87 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $204.17 | Professional | None | $93.33 | $131.83 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $275.42 | Professional | None | $95.50 | $141.25 | $275.42 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $190.55 Typical High $346.74 | Professional | None | $51.29 | $190.55 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $251.19 | Facility | None | $181.97 | $213.80 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $151.36 | Facility | None | $60.26 | $85.11 | $151.36 |
Premera BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $151.36 | Professional | None | $74.13 | $74.13 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,041.74 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $154.88 Typical High $223.87 | Professional | None | $74.13 | $154.88 | $223.87 |
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 $72.44 Median $141.25 Typical High $251.19 | Professional | None | $72.44 | $141.25 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $120.23 Typical High $177.83 | Professional | None | $50.12 | $120.23 | $177.83 |
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 $34.67 Median $53.70 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $13.80 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $81.28 Typical High $114.82 | Professional | 54 · Surgery only | $51.29 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $16.22 Typical High $22.91 | Professional | 55 · Aftercare only | $10.23 | $16.22 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.96 Typical High $15.14 | Professional | 56 · Pre-op care only | $6.92 | $10.96 | $15.14 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,995.26 Median $3,019.95 Typical High $5,754.40 | Facility | 50 · Both sides | $1,995.26 | $3,019.95 | $5,754.40 |
Where Washington sits
The same service costs 3.2 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· 10th of 51
$155
AK $263VA $81.28
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.