How much rates vary
Facilitymedian $407 · 10th to 90th $141 to $977Professionalmedian $708 · 10th to 90th $117 to $1,288
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 $724.44 Median $7,943.28 Typical High $27,542.29 | Facility | None | $724.44 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $660.69 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $165.96 | $194.98 | $194.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $398.11 Typical High $478.63 | Facility | None | $30.20 | $398.11 | $478.63 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,230.27 Typical High $12,022.64 | Professional | None (both parts) | $707.95 | $1,230.27 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $3,235.94 Typical High $3,467.37 | Professional | 26 · Professional part | $537.03 | $3,235.94 | $3,467.37 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $11,481.54 | Professional | TC · Technical part | $177.83 | $323.59 | $11,481.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $691.83 Typical High $1,445.44 | Professional | None (both parts) | $630.96 | $691.83 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $524.81 Typical High $1,071.52 | Professional | 26 · Professional part | $467.74 | $524.81 | $1,071.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $177.83 | $389.05 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $263.03 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $263.03 | $758.58 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $114.82 | $426.58 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $660.69 Typical High $977.24 | Facility | None | $245.47 | $660.69 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $707.95 | Facility | None | $691.83 | $691.83 | $707.95 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,000.00 Typical High $1,445.44 | Professional | None (both parts) | $707.95 | $1,000.00 | $1,445.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $741.31 Typical High $1,071.52 | Professional | 26 · Professional part | $537.03 | $741.31 | $1,071.52 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $251.19 | $363.08 |
United Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $616.60 | Facility | None | $125.89 | $302.00 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,148.15 Typical High $2,454.71 | Professional | None (both parts) | $831.76 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $660.69 Typical High $1,174.90 | Professional | 26 · Professional part | $489.78 | $660.69 | $1,174.90 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $501.19 Typical High $1,258.93 | Professional | TC · Technical part | $338.84 | $501.19 | $1,258.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $933.25 Median $977.24 Typical High $1,318.26 | Professional | None (both parts) | $933.25 | $977.24 | $1,318.26 |
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 $331.13 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $331.13 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $131.83 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $501.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $66.07 | $72.44 | $72.44 |
Where Washington sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 38th of 51
$708
NE $2,818MD $501
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.