How much rates vary
Facilitymedian $1,585 · 10th to 90th $631 to $10,471Professionalmedian $501 · 10th to 90th $62 to $955
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 $512.86 Median $6,165.95 Typical High $20,892.96 | Facility | None | $512.86 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $549.54 | Professional | None | $323.59 | $416.87 | $549.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $933.25 Typical High $10,964.78 | Facility | None | $257.04 | $933.25 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $3,467.37 | Professional | None | $436.52 | $741.31 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,698.24 Typical High $3,090.30 | Facility | None | $630.96 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $891.25 | Professional | None | $389.05 | $467.74 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $912.01 Typical High $2,398.83 | Professional | None | $501.19 | $912.01 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $489.78 Typical High $912.01 | Professional | None | $53.70 | $489.78 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $912.01 | Facility | None | $549.54 | $741.31 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,230.27 Typical High $2,089.30 | Facility | None | $831.76 | $1,230.27 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | None | $436.52 | $436.52 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $812.83 | Professional | None | $436.52 | $524.81 | $812.83 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $11,220.18 | Facility | None | $1,202.26 | $1,949.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $1,023.29 | Professional | None | $398.11 | $512.86 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $588.84 | Professional | None | $281.84 | $407.38 | $588.84 |
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 $204.17 Median $223.87 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $338.84 Typical High $380.19 | Professional | 54 · Surgery only | $309.03 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $67.61 Typical High $77.62 | Professional | 55 · Aftercare only | $61.66 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $44.67 Typical High $51.29 | Professional | 56 · Pre-op care only | $40.74 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $316.23 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $288.40 | $316.23 | $354.81 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in New Jersey. 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· 16th of 51
$525
AK $1,549NJ $347
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.