How much rates vary
Facilitymedian $912 · 10th to 90th $501 to $6,166Professionalmedian $324 · 10th to 90th $56 to $603
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 $251.19 Median $6,025.60 Typical High $20,892.96 | Facility | None | $251.19 | $6,025.60 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $436.52 | Professional | None | $194.98 | $281.84 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $933.25 Typical High $6,165.95 | Facility | None | $154.88 | $933.25 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $467.74 Typical High $2,398.83 | Professional | None | $251.19 | $467.74 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $1,905.46 | Facility | None | $630.96 | $1,047.13 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $562.34 | Professional | None | $218.78 | $323.59 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $630.96 Typical High $1,412.54 | Professional | None | $331.13 | $630.96 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $309.03 Typical High $575.44 | Professional | None | $51.29 | $309.03 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $524.81 Typical High $1,174.90 | Facility | None | $288.40 | $524.81 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,318.26 | Facility | None | $549.54 | $758.58 | $1,318.26 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $363.08 | Professional | None | $251.19 | $251.19 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,235.94 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $537.03 | Professional | None | $251.19 | $363.08 | $537.03 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,456.54 | Facility | None | $588.84 | $977.24 | $6,456.54 |
United Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $676.08 | Professional | None | $234.42 | $346.74 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $398.11 | Professional | None | $234.42 | $323.59 | $398.11 |
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 $181.97 | Professional | 52 · Reduced service | $117.49 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $72.44 | Professional | 53 · Discontinued | $47.86 | $51.29 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $194.98 Typical High $269.15 | Professional | 54 · Surgery only | $177.83 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.90 Typical High $53.70 | Professional | 55 · Aftercare only | $35.48 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.70 Typical High $36.31 | Professional | 56 · Pre-op care only | $23.44 | $25.70 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $181.97 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $165.96 | $181.97 | $251.19 |
Where Washington sits
The same service costs 4.2 times more in Alaska 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· 18th of 51
$339
AK $891UT $214
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.