How much rates vary
Facilitymedian $174 · 10th to 90th $85 to $912Professionalmedian $170 · 10th to 90th $85 to $316
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 $134.90 Median $269.15 Typical High $6,456.54 | Facility | None | $134.90 | $269.15 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $223.87 | Professional | None | $102.33 | $144.54 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $275.42 | Professional | None | $114.82 | $154.88 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $537.03 Typical High $1,096.48 | Facility | None | $75.86 | $537.03 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $141.25 Median $245.47 Typical High $1,096.48 | Professional | None | $141.25 | $245.47 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $218.78 | Facility | None | $66.07 | $131.83 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $295.12 | Professional | None | $114.82 | $141.25 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $309.03 | Professional | None | $102.33 | $194.98 | $309.03 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $181.97 Typical High $309.03 | Professional | None | $33.88 | $181.97 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $257.04 | Facility | None | $114.82 | $177.83 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $95.50 Typical High $165.96 | Facility | None | $60.26 | $95.50 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None | $147.91 | $147.91 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $269.15 | Professional | None | $141.25 | $169.82 | $269.15 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $338.84 | Professional | None | $123.03 | $158.49 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $218.78 | Professional | None | $102.33 | $144.54 | $218.78 |
6 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 $67.61 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $33.11 | Professional | 53 · Discontinued | $26.92 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $109.65 Typical High $123.03 | Professional | 54 · Surgery only | $102.33 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.88 Typical High $24.55 | Professional | 55 · Aftercare only | $20.42 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.45 Typical High $16.60 | Professional | 56 · Pre-op care only | $13.49 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $102.33 Typical High $114.82 | Professional | 78 · Unplanned return to OR | $95.50 | $102.33 | $114.82 |
Where Washington sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 13th of 51
$170
AK $437KY $100
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.