How much rates vary
Facilitymedian $155 · 10th to 90th $32 to $1,318Professionalmedian $85 · 10th to 90th $55 to $158
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 $77.62 Median $5,128.61 Typical High $20,892.96 | Facility | None | $77.62 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $104.71 | Professional | None | $69.18 | $77.62 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.84 Median $776.25 Typical High $1,621.81 | Facility | None | $28.84 | $776.25 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $63.10 Median $144.54 Typical High $446.68 | Professional | None | $63.10 | $144.54 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $66.07 Typical High $630.96 | Facility | None | $34.67 | $66.07 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Professional | None | $70.79 | $104.71 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $89.13 Typical High $151.36 | Professional | None | $28.84 | $89.13 | $151.36 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $91.20 Typical High $154.88 | Professional | None | $52.48 | $91.20 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $158.49 | Facility | None | $72.44 | $102.33 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $57.54 | Facility | None | $24.55 | $36.31 | $57.54 |
Premera BCBS Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | None | $63.10 | $69.18 | $69.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $1,621.81 | Facility | None | $645.65 | $851.14 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $120.23 | Professional | None | $63.10 | $70.79 | $120.23 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,288.25 | Facility | None | $134.90 | $346.74 | $1,288.25 |
United Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $147.91 | Professional | None | $75.86 | $91.20 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $74.13 | Professional | None | $35.48 | $52.48 | $74.13 |
6 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 $34.67 Median $36.31 Typical High $38.90 | Professional | 52 · Reduced service | $34.67 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $15.49 | Professional | 53 · Discontinued | $14.13 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $54.95 Typical High $57.54 | Professional | 54 · Surgery only | $52.48 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.96 Typical High $11.48 | Professional | 55 · Aftercare only | $10.47 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.92 | $7.24 | $7.76 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $977.24 Median $1,288.25 Typical High $2,398.83 | Facility | 50 · Both sides | $977.24 | $1,288.25 | $2,398.83 |
Where Washington sits
The same service costs 3.6 times more in Wyoming 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· 22nd of 51
$85.11
WY $191FL $52.48
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.