How much rates vary
Facilitymedian $302 · 10th to 90th $65 to $1,950Professionalmedian $148 · 10th to 90th $85 to $269
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 $151.36 Median $6,165.95 Typical High $27,542.29 | Facility | None | $151.36 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $173.78 | Professional | None | $100.00 | $151.36 | $173.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $64.57 Median $1,071.52 Typical High $2,187.76 | Facility | None | $64.57 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $134.90 Median $316.23 Typical High $2,290.87 | Professional | None | $134.90 | $316.23 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $251.19 | Professional | None | $89.13 | $138.04 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $288.40 | Professional | None | $128.82 | $199.53 | $288.40 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $134.90 Typical High $229.09 | Professional | None | $79.43 | $134.90 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $229.09 | Facility | None | $158.49 | $218.78 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $42.66 Typical High $151.36 | Facility | None | $34.67 | $42.66 | $151.36 |
Premera BCBS Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | None | $138.04 | $158.49 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $776.25 | $1,174.90 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $257.04 | Professional | None | $134.90 | $154.88 | $257.04 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,819.70 | Facility | None | $134.90 | $346.74 | $1,819.70 |
United Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $309.03 | Professional | None | $128.82 | $158.49 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $165.96 | Professional | None | $79.43 | $117.49 | $165.96 |
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 $75.86 Median $77.62 Typical High $87.10 | Professional | 52 · Reduced service | $75.86 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $34.67 | Professional | 53 · Discontinued | $30.20 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $117.49 Typical High $131.83 | Professional | 54 · Surgery only | $114.82 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.44 Typical High $26.30 | Professional | 55 · Aftercare only | $22.91 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.49 Typical High $17.38 | Professional | 56 · Pre-op care only | $15.14 | $15.49 | $17.38 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 20th of 51
$151
AK $407FL $91.20
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.