How much rates vary
Facilitymedian $871 · 10th to 90th $407 to $6,166Professionalmedian $309 · 10th to 90th $155 to $575
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 $208.93 Median $524.81 Typical High $17,378.01 | Facility | None | $208.93 | $524.81 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $371.54 | Professional | None | $169.82 | $245.47 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $309.03 | Professional | None | $104.71 | $134.90 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $741.31 Typical High $6,165.95 | Facility | None | $138.04 | $741.31 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $1,995.26 | Professional | None | $223.87 | $416.87 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,819.70 | Facility | None | $467.74 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $501.19 | Professional | None | $194.98 | $257.04 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $1,412.54 | Professional | None | $269.15 | $537.03 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $346.74 Typical High $549.54 | Professional | None | $61.66 | $346.74 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $457.09 | Facility | None | $257.04 | $416.87 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,318.26 | Facility | None | $549.54 | $741.31 | $1,318.26 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $309.03 | Professional | None | $229.09 | $229.09 | $309.03 |
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 $223.87 Median $309.03 Typical High $467.74 | Professional | None | $223.87 | $309.03 | $467.74 |
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 $199.53 Median $288.40 Typical High $562.34 | Professional | None | $199.53 | $288.40 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $331.13 | Professional | None | $208.93 | $275.42 | $331.13 |
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 $104.71 Median $114.82 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $60.26 | Professional | 53 · Discontinued | $41.69 | $45.71 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $169.82 Typical High $229.09 | Professional | 54 · Surgery only | $158.49 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.88 Typical High $45.71 | Professional | 55 · Aftercare only | $31.62 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.91 Typical High $30.20 | Professional | 56 · Pre-op care only | $20.89 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $158.49 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $147.91 | $158.49 | $213.80 |
Where Washington sits
The same service costs 4.6 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
$324
AK $794KY $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.