How much rates vary
Facilitymedian $12,882 · 10th to 90th $2,042 to $69,183Professionalmedian $1,445 · 10th to 90th $275 to $2,291
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 $1,737.80 Median $8,912.51 Typical High $21,877.62 | Facility | None | $1,737.80 | $8,912.51 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,445.44 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $28,183.83 Typical High $70,794.58 | Facility | None | $691.83 | $28,183.83 | $70,794.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,445.44 Median $6,606.93 Typical High $7,585.78 | Professional | None | $1,445.44 | $6,606.93 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $18,620.87 Median $19,498.45 Typical High $37,153.52 | Facility | None | $18,620.87 | $19,498.45 | $37,153.52 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,412.54 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $2,818.38 | Professional | None | $1,513.56 | $2,187.76 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $1,412.54 Typical High $2,137.96 | Professional | None | $234.42 | $1,412.54 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,137.96 | Facility | None | $1,737.80 | $2,041.74 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $9,332.54 Typical High $13,489.63 | Facility | None | $1,412.54 | $9,332.54 | $13,489.63 |
Premera BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $38,904.51 Median $51,286.14 Typical High $97,723.72 | Facility | None | $38,904.51 | $51,286.14 | $97,723.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,445.44 | $2,041.74 | $2,951.21 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $12,882.50 Typical High $70,794.58 | Facility | None | $5,754.40 | $12,882.50 | $70,794.58 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,905.46 | $3,235.94 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,288.25 | $1,862.09 |
5 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 $691.83 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $691.83 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $275.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,047.13 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $208.93 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $138.04 | $144.54 | $144.54 |
Where Washington sits
The same service costs 8.1 times more in Indiana 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.
Physician feeFacility fee
IN $23,026KY $2,834
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.