How much rates vary
Facilitymedian $631 · 10th to 90th $151 to $2,818Professionalmedian $776 · 10th to 90th $417 to $1,479
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 $724.44 Median $6,456.54 Typical High $20,892.96 | Facility | None | $724.44 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | None | $724.44 | $724.44 | $794.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $707.95 Typical High $1,862.09 | Facility | None | $380.19 | $707.95 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $4,168.69 Typical High $4,466.84 | Professional | None | $812.83 | $4,168.69 | $4,466.84 |
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 $602.56 Median $724.44 Typical High $1,230.27 | Professional | None | $602.56 | $724.44 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,513.56 | Professional | None | $575.44 | $954.99 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $707.95 Typical High $1,202.26 | Professional | None | $213.80 | $707.95 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,174.90 | Facility | None | $691.83 | $1,096.48 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $1,778.28 | Facility | None | $794.33 | $1,318.26 | $1,778.28 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $7,244.36 | Facility | None | $5,754.40 | $5,754.40 | $7,244.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,348.96 | Professional | None | $812.83 | $812.83 | $1,348.96 |
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 $691.83 Median $851.14 Typical High $1,659.59 | Professional | None | $691.83 | $851.14 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,023.29 | Professional | None | $501.19 | $676.08 | $1,023.29 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Where Washington sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 26th of 51
$776
AK $2,399UT $490
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.