How much rates vary
Facilitymedian $776 · 10th to 90th $174 to $5,888Professionalmedian $316 · 10th to 90th $105 to $589
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 $263.03 Median $10,232.93 Typical High $25,118.86 | Facility | None | $263.03 | $10,232.93 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $416.87 | Professional | None | $158.49 | $263.03 | $416.87 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $275.42 | Professional | None | $190.55 | $190.55 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $81.28 Median $1,584.89 Typical High $5,888.44 | Facility | None | $81.28 | $1,584.89 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $6,760.83 | Professional | None | $169.82 | $354.81 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $1,445.44 | Facility | None | $199.53 | $380.19 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $588.84 | Professional | None | $147.91 | $234.42 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $549.54 | Professional | None | $173.78 | $288.40 | $549.54 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $338.84 Typical High $588.84 | Professional | None | $58.88 | $338.84 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $407.38 Typical High $1,023.29 | Facility | None | $288.40 | $407.38 | $1,023.29 |
Premera BCBS Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $891.25 | Facility | None | $125.89 | $199.53 | $891.25 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $316.23 | Professional | None | $169.82 | $169.82 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $4,466.84 Typical High $8,511.38 | Facility | None | $3,311.31 | $4,466.84 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $549.54 | Professional | None | $169.82 | $316.23 | $549.54 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $707.95 | Professional | None | $165.96 | $295.12 | $707.95 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $323.59 | Professional | None | $144.54 | $218.78 | $323.59 |
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 $79.43 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $79.43 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $31.62 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $190.55 Typical High $229.09 | Professional | 54 · Surgery only | $117.49 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $38.02 Typical High $45.71 | Professional | 55 · Aftercare only | $23.99 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $25.70 Typical High $30.20 | Professional | 56 · Pre-op care only | $15.85 | $25.70 | $30.20 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,011.87 Median $6,760.83 Typical High $12,589.25 | Facility | 50 · Both sides | $5,011.87 | $6,760.83 | $12,589.25 |
Where Washington sits
The same service costs 3.2 times more in Oklahoma than in Texas. 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· 14th of 51
$316
OK $692TX $214
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.