How much rates vary
Facilitymedian $891 · 10th to 90th $35 to $1,660Professionalmedian $135 · 10th to 90th $42 to $363
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $831.76 Typical High $1,737.80 | Facility | None | $89.13 | $831.76 | $1,737.80 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $1,023.29 | Professional | None (both parts) | $134.90 | $194.98 | $1,023.29 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $660.69 | Professional | 26 · Professional part | $87.10 | $128.82 | $660.69 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $371.54 | Professional | TC · Technical part | $47.86 | $69.18 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $109.65 | $112.20 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $72.44 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $40.74 | $112.20 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $22.39 Median $53.70 Typical High $114.82 | Professional | None (both parts) | $22.39 | $53.70 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $21.38 | $41.69 | $63.10 |
Pacific Source Setting Facility Modifier None Typical Low $16.98 Median $35.48 Typical High $75.86 | Facility | None | $16.98 | $35.48 | $75.86 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $141.25 | Facility | None | $131.83 | $131.83 | $141.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,659.59 | Facility | None | $575.44 | $870.96 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $134.90 | $134.90 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $87.10 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $47.86 | $72.44 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $2,137.96 | Facility | None | $870.96 | $1,202.26 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $309.03 | Professional | None (both parts) | $104.71 | $128.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $60.26 | $79.43 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $51.29 | $117.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $57.54 | $77.62 | $114.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $51.29 | $75.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $26.30 | $39.81 |
2 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 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $13.49 |
Where Washington sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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
$135
MN $275AL $63.10
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.