How much rates vary
Facilitymedian $209 · 10th to 90th $107 to $1,660Professionalmedian $204 · 10th to 90th $112 to $363
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 $138.04 Median $229.09 Typical High $9,549.93 | Facility | None | $138.04 | $229.09 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $263.03 | Professional | None | $112.20 | $165.96 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $275.42 Typical High $323.59 | Professional | None | $125.89 | $275.42 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $1,071.52 Typical High $2,187.76 | Facility | None | $75.86 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $1,348.96 | Professional | None | $141.25 | $269.15 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $173.78 Typical High $288.40 | Facility | None | $66.07 | $173.78 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $323.59 | Professional | None | $123.03 | $181.97 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $380.19 | Professional | None | $134.90 | $223.87 | $380.19 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $208.93 Typical High $346.74 | Professional | None | $38.90 | $208.93 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $302.00 | Facility | None | $154.88 | $218.78 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $204.17 | Facility | None | $83.18 | $125.89 | $204.17 |
Premera BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $208.93 | Professional | None | $144.54 | $144.54 | $208.93 |
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 $141.25 Median $204.17 Typical High $309.03 | Professional | None | $141.25 | $204.17 | $309.03 |
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 $125.89 Median $194.98 Typical High $380.19 | Professional | None | $125.89 | $194.98 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $229.09 | Professional | None | $141.25 | $186.21 | $229.09 |
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 $74.13 Typical High $104.71 | Professional | 52 · Reduced service | $67.61 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $109.65 Typical High $154.88 | Professional | 54 · Surgery only | $102.33 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.88 Typical High $30.90 | Professional | 55 · Aftercare only | $20.42 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.79 Typical High $20.89 | Professional | 56 · Pre-op care only | $13.80 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $95.50 | $102.33 | $144.54 |
Where Washington sits
The same service costs 4.1 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· 11th of 51
$204
AK $447KY $110
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.