How much rates vary
Facilitymedian $708 · 10th to 90th $141 to $2,630Professionalmedian $501 · 10th to 90th $132 to $912
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 $346.74 Median $5,128.61 Typical High $20,892.96 | Facility | None | $346.74 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $323.59 Typical High $346.74 | Professional | None | $141.25 | $323.59 | $346.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $1,122.02 Typical High $2,290.87 | Facility | None | $117.49 | $1,122.02 | $2,290.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $724.44 Typical High $2,691.53 | Professional | None | $257.04 | $724.44 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $1,659.59 | Facility | None | $707.95 | $741.31 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $501.19 Typical High $1,000.00 | Professional | None | $302.00 | $501.19 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $512.86 Typical High $870.96 | Professional | None | $89.13 | $512.86 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $616.60 Typical High $1,000.00 | Facility | None | $512.86 | $616.60 | $1,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Premera BCBS Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $524.81 | Professional | None | $245.47 | $245.47 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $891.25 | $1,174.90 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $870.96 | Professional | None | $245.47 | $501.19 | $870.96 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,819.70 | Facility | None | $134.90 | $346.74 | $1,819.70 |
United Setting Professional Modifier None Typical Low $269.15 Median $575.44 Typical High $1,000.00 | Professional | None | $269.15 | $575.44 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $457.09 | Professional | None | $213.80 | $323.59 | $457.09 |
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 $70.79 Median $125.89 Typical High $173.78 | Professional | 52 · Reduced service | $70.79 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $50.12 Typical High $70.79 | Professional | 53 · Discontinued | $28.18 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $190.55 Typical High $263.03 | Professional | 54 · Surgery only | $107.15 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $38.02 Typical High $52.48 | Professional | 55 · Aftercare only | $21.38 | $38.02 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $25.12 Typical High $34.67 | Professional | 56 · Pre-op care only | $14.13 | $25.12 | $34.67 |
Where Washington sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 7th of 51
$501
WI $813UT $288
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.