How much rates vary
Facilitymedian $513 · 10th to 90th $331 to $1,023Professionalmedian $501 · 10th to 90th $282 to $1,000
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | None | $407.38 | $407.38 | $691.83 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $741.31 | Facility | None | $331.13 | $549.54 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $302.00 Median $5,128.61 Typical High $5,248.07 | Professional | None | $302.00 | $5,128.61 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Facility | None | $758.58 | $758.58 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Kaiser Permanente Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $616.60 | Facility | None | $331.13 | $416.87 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $870.96 | Professional | None | $331.13 | $436.52 | $870.96 |
Molina Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,023.29 | Professional | None | $831.76 | $933.25 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $1,023.29 | Facility | None | $338.84 | $512.86 | $1,023.29 |
Premera BCBS Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $660.69 | Facility | None | $389.05 | $512.86 | $660.69 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $537.03 | Facility | None | $331.13 | $331.13 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $870.96 | Professional | None | $302.00 | $363.08 | $870.96 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $870.96 | Professional | None | $338.84 | $549.54 | $870.96 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $707.95 | Professional | None | $245.47 | $524.81 | $707.95 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Where Washington sits
The same service costs 2.6 times more in Hawaii 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· 49th of 51
$513
HI $1,230UT $479
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.