How much rates vary
Facilitymedian $120 · 10th to 90th $34 to $1,202Professionalmedian $85 · 10th to 90th $55 to $162
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 $70.79 Median $6,165.95 Typical High $27,542.29 | Facility | None | $70.79 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $93.33 | Professional | None | $70.79 | $74.13 | $93.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $29.51 Median $776.25 Typical High $1,621.81 | Facility | None | $29.51 | $776.25 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $63.10 Median $165.96 Typical High $1,905.46 | Professional | None | $63.10 | $165.96 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $85.11 | Facility | None | $41.69 | $52.48 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $134.90 | Professional | None | $48.98 | $74.13 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $144.54 | Professional | None | $37.15 | $70.79 | $144.54 |
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 $67.61 Median $120.23 Typical High $125.89 | Facility | None | $67.61 | $120.23 | $125.89 |
Premera BCBS Setting Facility Modifier None Typical Low $27.54 Median $37.15 Typical High $66.07 | Facility | None | $27.54 | $37.15 | $66.07 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | None | $64.57 | $85.11 | $85.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $1,621.81 | Facility | None | $562.34 | $851.14 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $131.83 | Professional | None | $63.10 | $83.18 | $131.83 |
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 $63.10 Median $83.18 Typical High $154.88 | Professional | None | $63.10 | $83.18 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $89.13 | Professional | None | $42.66 | $54.95 | $89.13 |
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 $35.48 Median $36.31 Typical High $46.77 | Professional | 52 · Reduced service | $35.48 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.79 Typical High $18.62 | Professional | 53 · Discontinued | $14.13 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $54.95 Typical High $70.79 | Professional | 54 · Surgery only | $52.48 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.96 Typical High $14.13 | Professional | 55 · Aftercare only | $10.47 | $10.96 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.41 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.08 | $7.41 | $9.33 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $851.14 Median $1,288.25 Typical High $2,398.83 | Facility | 50 · Both sides | $851.14 | $1,288.25 | $2,398.83 |
Where Washington sits
The same service costs 3.7 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· 15th of 51
$85.11
AK $191FL $51.29
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.