How much rates vary
Facilitymedian $631 · 10th to 90th $148 to $2,818Professionalmedian $933 · 10th to 90th $501 to $1,778
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 $851.14 Median $6,456.54 Typical High $20,892.96 | Facility | None | $851.14 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | None | $851.14 | $851.14 | $912.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $1,862.09 | Facility | None | $446.68 | $707.95 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $933.25 Median $4,897.79 Typical High $5,128.61 | Professional | None | $933.25 | $4,897.79 | $5,128.61 |
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 $691.83 Median $831.76 Typical High $1,445.44 | Professional | None | $691.83 | $831.76 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,659.59 | Professional | None | $660.69 | $1,096.48 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $851.14 Typical High $1,479.11 | Professional | None | $251.19 | $851.14 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,348.96 | Facility | None | $1,047.13 | $1,318.26 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,778.28 | Facility | None | $912.01 | $1,318.26 | $1,778.28 |
Premera BCBS Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
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 $933.25 Median $933.25 Typical High $1,548.82 | Professional | None | $933.25 | $933.25 | $1,548.82 |
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 $794.33 Median $977.24 Typical High $1,905.46 | Professional | None | $794.33 | $977.24 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,174.90 | Professional | None | $575.44 | $776.25 | $1,174.90 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Where Washington sits
The same service costs 4.7 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· 24th of 51
$912
AK $2,754UT $589
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.