How much rates vary
Facilitymedian $398 · 10th to 90th $115 to $2,692Professionalmedian $182 · 10th to 90th $85 to $324
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 $3,981.07 Typical High $20,417.38 | Facility | None | $138.04 | $3,981.07 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $239.88 | Professional | None | $112.20 | $151.36 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $977.24 Typical High $2,691.53 | Facility | None | $74.13 | $977.24 | $2,691.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $1,230.27 | Professional | None | $141.25 | $269.15 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $630.96 | Facility | None | $141.25 | $269.15 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $331.13 | Professional | None | $123.03 | $162.18 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $346.74 | Professional | None | $125.89 | $218.78 | $346.74 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $181.97 Typical High $309.03 | Professional | None | $33.88 | $181.97 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $288.40 | Facility | None | $173.78 | $263.03 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $85.11 Median $123.03 Typical High $199.53 | Facility | None | $85.11 | $123.03 | $199.53 |
Premera BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | None | $147.91 | $147.91 | $199.53 |
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 $141.25 Median $199.53 Typical High $302.00 | Professional | None | $141.25 | $199.53 | $302.00 |
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 $125.89 Median $177.83 Typical High $363.08 | Professional | None | $125.89 | $177.83 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $213.80 | Professional | None | $100.00 | $147.91 | $213.80 |
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 $69.18 Median $74.13 Typical High $97.72 | Professional | 52 · Reduced service | $69.18 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $112.20 Typical High $147.91 | Professional | 54 · Surgery only | $102.33 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $22.39 Typical High $29.51 | Professional | 55 · Aftercare only | $20.89 | $22.39 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.79 Typical High $19.50 | Professional | 56 · Pre-op care only | $13.80 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $104.71 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $95.50 | $104.71 | $138.04 |
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· 13th of 51
$186
AK $437KY $107
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.