How much rates vary
Facilitymedian $372 · 10th to 90th $141 to $1,096Professionalmedian $200 · 10th to 90th $110 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 $208.93 Median $6,165.95 Typical High $27,542.29 | Facility | None | $208.93 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $229.09 | Professional | None | $144.54 | $208.93 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $562.34 Typical High $1,096.48 | Facility | None | $97.72 | $562.34 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $1,621.81 | Professional | None | $199.53 | $281.84 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $363.08 | Professional | None | $125.89 | $134.90 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $398.11 | Professional | None | $165.96 | $288.40 | $398.11 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $208.93 Typical High $338.84 | Professional | None | $38.02 | $208.93 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $275.42 | Facility | None | $190.55 | $251.19 | $275.42 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $194.98 Typical High $194.98 | Facility | None | $186.21 | $194.98 | $194.98 |
Premera BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $316.23 | Professional | None | $173.78 | $199.53 | $316.23 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $407.38 | Professional | None | $158.49 | $186.21 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $302.00 | Professional | None | $134.90 | $181.97 | $302.00 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 54 · Surgery only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Where Washington sits
The same service costs 3.2 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· 15th of 51
$204
AK $347KY $107
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.