How much rates vary
Facilitymedian $447 · 10th to 90th $155 to $6,166Professionalmedian $295 · 10th to 90th $138 to $501
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 $229.09 Median $2,754.23 Typical High $17,378.01 | Facility | None | $229.09 | $2,754.23 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $380.19 | Professional | None | $186.21 | $251.19 | $380.19 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | None | $107.15 | $107.15 | $165.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $120.23 Median $1,698.24 Typical High $6,309.57 | Facility | None | $120.23 | $1,698.24 | $6,309.57 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $1,995.26 | Professional | None | $239.88 | $436.52 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $933.25 | Facility | None | $194.98 | $371.54 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $524.81 | Professional | None | $213.80 | $263.03 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $338.84 Typical High $562.34 | Professional | None | $173.78 | $338.84 | $562.34 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $295.12 Typical High $467.74 | Professional | None | $51.29 | $295.12 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $426.58 Typical High $457.09 | Facility | None | $245.47 | $426.58 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $288.40 | Facility | None | $120.23 | $165.96 | $288.40 |
Premera BCBS Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | None | $245.47 | $245.47 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,162.28 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $478.63 | Professional | None | $239.88 | $316.23 | $478.63 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $6,456.54 | Facility | None | $371.54 | $691.83 | $6,456.54 |
United Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $588.84 | Professional | None | $218.78 | $295.12 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $338.84 | Professional | None | $162.18 | $234.42 | $338.84 |
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 $114.82 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $114.82 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $45.71 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $186.21 Typical High $229.09 | Professional | 54 · Surgery only | $173.78 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $34.67 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.12 Typical High $30.90 | Professional | 56 · Pre-op care only | $22.91 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $173.78 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $162.18 | $173.78 | $213.80 |
Where Washington sits
The same service costs 3.9 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
$302
AK $724KY $186
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.