How much rates vary
Facilitymedian $145 · 10th to 90th $93 to $275Professionalmedian $135 · 10th to 90th $79 to $275
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $93.33 Median $154.88 Typical High $208.93 | Facility | None | $93.33 | $154.88 | $208.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $83.18 Median $1,445.44 Typical High $1,479.11 | Professional | None | $83.18 | $1,445.44 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $229.09 | Facility | None | $213.80 | $213.80 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
Kaiser Permanente Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $173.78 | Facility | None | $91.20 | $117.49 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $245.47 | Professional | None | $91.20 | $120.23 | $245.47 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $281.84 | Professional | None | $234.42 | $257.04 | $281.84 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $275.42 | Facility | None | $95.50 | $141.25 | $275.42 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $186.21 | Facility | None | $109.65 | $144.54 | $186.21 |
Premera BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $109.65 | Professional | None | $79.43 | $79.43 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $151.36 | Facility | None | $93.33 | $93.33 | $151.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $239.88 | Professional | None | $83.18 | $102.33 | $239.88 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $239.88 | Professional | None | $95.50 | $154.88 | $239.88 |
Wellpoint Setting Professional Modifier None Typical Low $69.18 Median $147.91 Typical High $194.98 | Professional | None | $69.18 | $147.91 | $194.98 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
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
$141
HI $347UT $132
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.