How much rates vary
Facilitymedian $4,467 · 10th to 90th $708 to $25,704Professionalmedian $513 · 10th to 90th $302 to $1,096
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 $302.00 Median $7,943.28 Typical High $27,542.29 | Facility | None | $302.00 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $446.68 | Professional | None | $302.00 | $302.00 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $269.15 Median $19,952.62 Typical High $41,686.94 | Facility | None | $269.15 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $512.86 Median $2,290.87 Typical High $3,019.95 | Professional | None | $512.86 | $2,290.87 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $8,709.64 | Facility | None | $707.95 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $4,265.80 Typical High $7,244.36 | Professional | None | $524.81 | $4,265.80 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $524.81 Typical High $912.01 | Professional | None | $165.96 | $524.81 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $758.58 | Facility | None | $436.52 | $707.95 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $7,079.46 | Facility | None | $2,511.89 | $3,890.45 | $7,079.46 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $794.33 | Professional | None | $512.86 | $512.86 | $794.33 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $1,023.29 | Professional | None | $426.58 | $524.81 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $741.31 | Professional | None | $363.08 | $489.78 | $741.31 |
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 $151.36 Median $151.36 Typical High $165.96 | Professional | 52 · Reduced service | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 54 · Surgery only | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $33.11 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in New York. 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· 16th of 51
$525
AK $1,479NY $331
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.