How much rates vary
Facilitymedian $4,467 · 10th to 90th $891 to $19,055Professionalmedian $468 · 10th to 90th $89 to $1,023
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 $1,288.25 Median $13,803.84 Typical High $23,988.33 | Facility | None | $1,288.25 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,071.52 | Professional | None | $616.60 | $1,023.29 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $436.52 Median $14,791.08 Typical High $30,199.52 | Facility | None | $436.52 | $14,791.08 | $30,199.52 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $912.01 Median $1,949.84 Typical High $4,897.79 | Professional | None | $912.01 | $1,949.84 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,128.61 Typical High $9,549.93 | Facility | None | $707.95 | $5,128.61 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,513.56 | Professional | None | $549.54 | $831.76 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $4,570.88 Typical High $7,762.47 | Professional | None | $977.24 | $4,570.88 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $407.38 Typical High $933.25 | Professional | None | $85.11 | $407.38 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $1,348.96 | Facility | None | $794.33 | $1,318.26 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,981.07 Typical High $6,760.83 | Facility | None | $3,090.30 | $3,981.07 | $6,760.83 |
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 $11,748.98 Median $15,135.61 Typical High $28,840.32 | Facility | None | $11,748.98 | $15,135.61 | $28,840.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,698.24 | Professional | None | $912.01 | $912.01 | $1,698.24 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $20,892.96 | Facility | None | $2,089.30 | $3,630.78 | $20,892.96 |
United Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $2,041.74 | Professional | None | $870.96 | $977.24 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $831.76 | Professional | None | $89.13 | $89.13 | $831.76 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Where Washington sits
The same service costs 5.9 times more in Alaska than in Montana. 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
AK $12,304MT $2,095
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.