How much rates vary
Facilitymedian $398 · 10th to 90th $129 to $2,692Professionalmedian $234 · 10th to 90th $107 to $398
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 $151.36 Median $309.03 Typical High $17,378.01 | Facility | None | $151.36 | $309.03 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $281.84 | Professional | None | $123.03 | $181.97 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $158.49 Typical High $190.55 | Professional | None | $47.86 | $158.49 | $190.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $977.24 Typical High $2,691.53 | Facility | None | $77.62 | $977.24 | $2,691.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $1,479.11 | Professional | None | $158.49 | $295.12 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $309.03 Typical High $707.95 | Facility | None | $162.18 | $309.03 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $363.08 | Professional | None | $138.04 | $199.53 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $416.87 | Professional | None | $141.25 | $239.88 | $416.87 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $239.88 Typical High $389.05 | Professional | None | $42.66 | $239.88 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $309.03 Typical High $346.74 | Facility | None | $177.83 | $309.03 | $346.74 |
Premera BCBS Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $234.42 | Facility | None | $100.00 | $138.04 | $234.42 |
Premera BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | None | $158.49 | $158.49 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,348.96 | $2,041.74 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $346.74 | Professional | None | $158.49 | $239.88 | $346.74 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,754.23 | Facility | None | $371.54 | $691.83 | $2,754.23 |
United Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $426.58 | Professional | None | $141.25 | $218.78 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $251.19 | Professional | None | $141.25 | $204.17 | $251.19 |
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 $74.13 Median $81.28 Typical High $117.49 | Professional | 52 · Reduced service | $74.13 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $120.23 Typical High $173.78 | Professional | 54 · Surgery only | $112.20 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $24.55 Typical High $34.67 | Professional | 55 · Aftercare only | $22.39 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.22 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.14 | $16.22 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $112.20 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $104.71 | $112.20 | $162.18 |
Where Washington sits
The same service costs 3.8 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· 9th of 51
$234
AK $525KY $138
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.