How much rates vary
Facilitymedian $295 · 10th to 90th $129 to $1,698Professionalmedian $282 · 10th to 90th $138 to $501
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 $234.42 Median $389.05 Typical High $9,332.54 | Facility | None | $234.42 | $389.05 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $380.19 | Professional | None | $158.49 | $245.47 | $380.19 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $263.03 | Professional | None | $190.55 | $223.87 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $1,071.52 Typical High $2,187.76 | Facility | None | $128.82 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $1,905.46 | Professional | None | $251.19 | $416.87 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $630.96 | Facility | None | $177.83 | $338.84 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $512.86 | Professional | None | $204.17 | $245.47 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $338.84 Typical High $524.81 | Professional | None | $158.49 | $338.84 | $524.81 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $295.12 Typical High $467.74 | Professional | None | $51.29 | $295.12 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $426.58 | Facility | None | $173.78 | $295.12 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $138.04 Typical High $257.04 | Facility | None | $66.07 | $138.04 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | None | $251.19 | $251.19 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $776.25 | $1,174.90 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $467.74 | Professional | None | $245.47 | $295.12 | $467.74 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,621.81 | Facility | None | $134.90 | $346.74 | $1,621.81 |
United Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $575.44 | Professional | None | $218.78 | $275.42 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $371.54 | Professional | None | $223.87 | $257.04 | $371.54 |
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 $117.49 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $190.55 Typical High $208.93 | Professional | 54 · Surgery only | $177.83 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.02 Typical High $41.69 | Professional | 55 · Aftercare only | $35.48 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.70 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.44 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $177.83 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $165.96 | $177.83 | $194.98 |
Where Washington sits
The same service costs 4.4 times more in Alaska than in Florida. 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· 15th of 51
$282
AK $759FL $174
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.