How much rates vary
Facilitymedian $389 · 10th to 90th $129 to $3,890Professionalmedian $282 · 10th to 90th $79 to $603
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 $281.84 Median $6,165.95 Typical High $20,892.96 | Facility | None | $281.84 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $190.55 Typical High $281.84 | Professional | None | $77.62 | $190.55 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $389.05 | Facility | None | $41.69 | $41.69 | $389.05 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $85.11 Median $302.00 Typical High $2,137.96 | Professional | None | $85.11 | $302.00 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $309.03 | Professional | None | $79.43 | $131.83 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $478.63 | Professional | None | $79.43 | $158.49 | $478.63 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $338.84 Typical High $602.56 | Professional | None | $87.10 | $338.84 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $416.87 | Facility | None | $194.98 | $346.74 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $302.00 | Facility | None | $295.12 | $302.00 | $302.00 |
Premera BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $295.12 | Professional | None | $85.11 | $85.11 | $295.12 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $190.55 Typical High $426.58 | Professional | None | $85.11 | $190.55 | $426.58 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $602.56 | Facility | None | $125.89 | $295.12 | $602.56 |
United Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $436.52 | Professional | None | $83.18 | $181.97 | $436.52 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $245.47 Typical High $363.08 | Professional | None | $56.23 | $245.47 | $363.08 |
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 $38.90 Median $79.43 Typical High $141.25 | Professional | 52 · Reduced service | $38.90 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $32.36 Typical High $56.23 | Professional | 53 · Discontinued | $15.49 | $32.36 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $120.23 Typical High $213.80 | Professional | 54 · Surgery only | $58.88 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $23.99 Typical High $42.66 | Professional | 55 · Aftercare only | $11.75 | $23.99 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $16.22 Typical High $28.18 | Professional | 56 · Pre-op care only | $7.76 | $16.22 | $28.18 |
Where Washington sits
The same service costs 13.1 times more in Hawaii 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.
Physician feeFacility fee
HI $3,088KY $236
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.