How much rates vary
Facilitymedian $1,230 · 10th to 90th $331 to $1,660Professionalmedian $776 · 10th to 90th $123 to $1,950
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $977.24 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $758.58 | $1,023.29 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $2,818.38 | Facility | None | $691.83 | $691.83 | $2,818.38 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,698.24 Typical High $8,128.31 | Professional | None (both parts) | $1,258.93 | $1,698.24 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $331.13 Typical High $1,548.82 | Professional | 26 · Professional part | $251.19 | $331.13 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,288.25 Typical High $6,606.93 | Professional | TC · Technical part | $1,000.00 | $1,288.25 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,202.26 Typical High $2,511.89 | Professional | None (both parts) | $954.99 | $1,202.26 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $239.88 Typical High $478.63 | Professional | 26 · Professional part | $186.21 | $239.88 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $977.24 Typical High $2,041.74 | Professional | TC · Technical part | $758.58 | $977.24 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $177.83 Median $794.33 Typical High $1,698.24 | Professional | None (both parts) | $177.83 | $794.33 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $50.12 | $181.97 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $1,318.26 Typical High $1,659.59 | Facility | None | $331.13 | $1,318.26 | $1,659.59 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,230.27 | $1,230.27 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $933.25 | $933.25 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,818.38 | Facility | None | $2,238.72 | $2,238.72 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $2,041.74 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $2,041.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $407.38 | Professional | 26 · Professional part | $251.19 | $251.19 | $407.38 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,659.59 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,318.26 Typical High $2,630.27 | Professional | None (both parts) | $660.69 | $1,318.26 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $275.42 Typical High $524.81 | Professional | 26 · Professional part | $213.80 | $275.42 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $1,096.48 Typical High $2,089.30 | Professional | TC · Technical part | $416.87 | $1,096.48 | $2,089.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,570.40 Typical High $3,548.13 | Professional | None (both parts) | $1,905.46 | $2,570.40 | $3,548.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $204.17 Typical High $389.05 | Professional | 26 · Professional part | $190.55 | $204.17 | $389.05 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,290.87 Typical High $3,235.94 | Professional | TC · Technical part | $1,698.24 | $2,290.87 | $3,235.94 |
4 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 $478.63 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $190.55 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $141.25 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $125.89 | $125.89 |
Where Washington sits
The same service costs 9.1 times more in Alaska 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.
Washington· 41st of 51
$776
AK $2,188KY $240
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.