How much rates vary
Facilitymedian $2,138 · 10th to 90th $479 to $12,303Professionalmedian $646 · 10th to 90th $158 to $1,413
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 $1,047.13 Median $6,918.31 Typical High $20,892.96 | Facility | None | $1,047.13 | $6,918.31 | $20,892.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,047.13 Typical High $1,412.54 | Professional | None (both parts) | $933.25 | $1,047.13 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $489.78 Median $8,511.38 Typical High $17,782.79 | Facility | None | $489.78 | $8,511.38 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $5,248.07 Typical High $5,623.41 | Professional | None (both parts) | $912.01 | $5,248.07 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $912.01 Typical High $1,905.46 | Professional | None (both parts) | $831.76 | $912.01 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $426.58 Median $933.25 Typical High $1,621.81 | Professional | None (both parts) | $426.58 | $933.25 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $549.54 Typical High $1,258.93 | Professional | None (both parts) | $151.36 | $549.54 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $1,348.96 | Facility | None | $363.08 | $794.33 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $912.01 Typical High $912.01 | Facility | None | $870.96 | $912.01 | $912.01 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,165.95 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,165.95 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,230.27 Typical High $1,737.80 | Professional | None (both parts) | $912.01 | $1,230.27 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,302.69 | Facility | None | $1,513.56 | $2,570.40 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,202.26 Typical High $1,905.46 | Professional | None (both parts) | $831.76 | $1,202.26 | $1,905.46 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $912.01 Median $954.99 Typical High $1,445.44 | Professional | None (both parts) | $912.01 | $954.99 | $1,445.44 |
17 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 26 · Professional part Typical Low $281.84 Median $295.12 Typical High $426.58 | Professional | 26 · Professional part | $281.84 | $295.12 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $467.74 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $190.55 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $707.95 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $141.25 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $741.31 Typical High $851.14 | Professional | TC · Technical part | $660.69 | $741.31 | $851.14 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $1,698.24 Typical High $1,862.09 | Professional | 26 · Professional part | $309.03 | $1,698.24 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $2,884.03 Typical High $4,073.80 | Professional | TC · Technical part | $616.60 | $2,884.03 | $4,073.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $288.40 Typical High $630.96 | Professional | 26 · Professional part | $263.03 | $288.40 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $630.96 Typical High $1,318.26 | Professional | TC · Technical part | $575.44 | $630.96 | $1,318.26 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $426.58 Typical High $630.96 | Professional | 26 · Professional part | $309.03 | $426.58 | $630.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $812.83 Typical High $1,122.02 | Professional | TC · Technical part | $616.60 | $812.83 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $380.19 Typical High $691.83 | Professional | 26 · Professional part | $275.42 | $380.19 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $812.83 Typical High $1,230.27 | Professional | TC · Technical part | $537.03 | $812.83 | $1,230.27 |
Where Washington sits
The same service costs 4.4 times more in Wisconsin 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· 45th of 51
$692
WI $2,630TX $603
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.