How much rates vary
Facilitymedian $437 · 10th to 90th $141 to $2,692Professionalmedian $245 · 10th to 90th $138 to $479
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 $223.87 Median $6,456.54 Typical High $20,892.96 | Facility | None | $223.87 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | None | $223.87 | $223.87 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $707.95 Typical High $1,348.96 | Facility | None | $117.49 | $707.95 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $1,288.25 Typical High $1,348.96 | Professional | None | $245.47 | $1,288.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $1,513.56 | Facility | None | $630.96 | $724.44 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $380.19 | Professional | None | $181.97 | $218.78 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $436.52 | Professional | None | $169.82 | $281.84 | $436.52 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $234.42 Typical High $398.11 | Professional | None | $70.79 | $234.42 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $354.81 | Facility | None | $204.17 | $309.03 | $354.81 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $707.95 Typical High $954.99 | Facility | None | $239.88 | $707.95 | $954.99 |
Premera BCBS Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,890.45 | Facility | None | $3,090.30 | $3,090.30 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $407.38 | Professional | None | $245.47 | $245.47 | $407.38 |
United Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $616.60 | Facility | None | $125.89 | $302.00 | $616.60 |
United Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $501.19 | Professional | None | $199.53 | $257.04 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $309.03 | Professional | None | $151.36 | $204.17 | $309.03 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 54 · Surgery only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $22.39 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in New York. 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· 25th of 51
$245
AK $724NY $162
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.