How much rates vary
Facilitymedian $813 · 10th to 90th $389 to $6,166Professionalmedian $316 · 10th to 90th $51 to $631
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 $380.19 Median $5,128.61 Typical High $20,892.96 | Facility | None | $380.19 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $436.52 | Professional | None | $229.09 | $302.00 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $181.97 Median $741.31 Typical High $6,165.95 | Facility | None | $181.97 | $741.31 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $2,454.71 | Professional | None | $309.03 | $549.54 | $2,454.71 |
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 $269.15 Median $331.13 Typical High $645.65 | Professional | None | $269.15 | $331.13 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $676.08 Typical High $1,412.54 | Professional | None | $354.81 | $676.08 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $257.04 Typical High $575.44 | Professional | None | $47.86 | $257.04 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $537.03 Typical High $575.44 | Facility | None | $398.11 | $537.03 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $1,230.27 | Facility | None | $354.81 | $707.95 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None | $309.03 | $309.03 | $389.05 |
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 $309.03 Median $389.05 Typical High $602.56 | Professional | None | $309.03 | $389.05 | $602.56 |
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 $281.84 Median $371.54 Typical High $741.31 | Professional | None | $281.84 | $371.54 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $416.87 | Professional | None | $204.17 | $295.12 | $416.87 |
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 $144.54 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $63.10 Typical High $75.86 | Professional | 53 · Discontinued | $57.54 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $234.42 Typical High $281.84 | Professional | 54 · Surgery only | $218.78 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $56.23 | Professional | 55 · Aftercare only | $43.65 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $31.62 Typical High $38.02 | Professional | 56 · Pre-op care only | $28.84 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $218.78 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $204.17 | $218.78 | $263.03 |
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· 24th of 51
$331
AK $912KY $234
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.