How much rates vary
Facilitymedian $302 · 10th to 90th $51 to $933Professionalmedian $110 · 10th to 90th $46 to $204
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 $66.07 Median $5,128.61 Typical High $21,877.62 | Facility | None | $66.07 | $5,128.61 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $162.18 | Professional | None | $58.88 | $107.15 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $169.82 | Professional | None | $138.04 | $151.36 | $169.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $33.11 Median $537.03 Typical High $1,096.48 | Facility | None | $33.11 | $537.03 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $79.43 Median $173.78 Typical High $676.08 | Professional | None | $79.43 | $173.78 | $676.08 |
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 $60.26 Median $97.72 Typical High $229.09 | Professional | None | $60.26 | $97.72 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $199.53 | Professional | None | $81.28 | $131.83 | $199.53 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $112.20 Typical High $194.98 | Professional | None | $19.50 | $112.20 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $223.87 | Facility | None | $123.03 | $154.88 | $223.87 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $104.71 | Facility | None | $32.36 | $40.74 | $104.71 |
Premera BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | None | $70.79 | $70.79 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $190.55 | Professional | None | $69.18 | $114.82 | $190.55 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $213.80 | Professional | None | $69.18 | $117.49 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $112.20 | Professional | None | $60.26 | $91.20 | $112.20 |
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 $33.11 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $33.11 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $13.18 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $67.61 Typical High $79.43 | Professional | 54 · Surgery only | $48.98 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $13.49 Typical High $15.85 | Professional | 55 · Aftercare only | $9.77 | $13.49 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.12 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.61 | $9.12 | $10.72 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $575.44 Median $870.96 Typical High $1,659.59 | Facility | 50 · Both sides | $575.44 | $870.96 | $1,659.59 |
Where Washington sits
The same service costs 3.2 times more in Wisconsin than in Kentucky. 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· 18th of 51
$110
WI $229KY $72.44
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.