How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,259 to $2,884Professionalmedian $1,380 · 10th to 90th $1,259 to $2,884
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,258.93 | $1,380.38 | $1,380.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,344.23 | Facility | None | $1,258.93 | $1,659.59 | $2,344.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $5,754.40 | Professional | None | $1,380.38 | $1,380.38 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,318.26 | $1,862.09 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,548.82 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,412.54 | $1,513.56 |
Premera BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $3,981.07 | Facility | None | $1,202.26 | $1,412.54 | $3,981.07 |
Premera BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,344.23 | Facility | None | $1,380.38 | $1,659.59 | $2,344.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,258.93 | $1,380.38 | $1,380.38 |
United 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 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,258.93 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,318.26 | $1,621.81 |
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 $616.60 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $616.60 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $251.19 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $125.89 | $138.04 | $138.04 |
Where Washington sits
Rates are fairly even across states for this service. 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· 10th of 51
$1,380
AK $1,698FL $1,259
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.