How much rates vary
Facilitymedian $468 · 10th to 90th $191 to $2,692Professionalmedian $324 · 10th to 90th $56 to $603
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 $251.19 Median $4,265.80 Typical High $20,892.96 | Facility | None | $251.19 | $4,265.80 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $426.58 | Professional | None | $208.93 | $281.84 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $302.00 | Professional | None | $169.82 | $169.82 | $302.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $1,348.96 Typical High $2,691.53 | Facility | None | $123.03 | $1,348.96 | $2,691.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $489.78 Typical High $2,398.83 | Professional | None | $263.03 | $489.78 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $933.25 | Facility | None | $234.42 | $446.68 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $588.84 | Professional | None | $234.42 | $338.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $676.08 | Professional | None | $208.93 | $389.05 | $676.08 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $309.03 Typical High $575.44 | Professional | None | $51.29 | $309.03 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $562.34 | Facility | None | $309.03 | $501.19 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $363.08 | Facility | None | $154.88 | $204.17 | $363.08 |
Premera BCBS Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Professional | None | $263.03 | $263.03 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,548.82 | $2,041.74 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $562.34 | Professional | None | $263.03 | $380.19 | $562.34 |
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 $239.88 Median $363.08 Typical High $691.83 | Professional | None | $239.88 | $363.08 | $691.83 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $398.11 | Professional | None | $223.87 | $323.59 | $398.11 |
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 $123.03 Median $134.90 Typical High $186.21 | Professional | 52 · Reduced service | $123.03 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $199.53 Typical High $281.84 | Professional | 54 · Surgery only | $186.21 | $199.53 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $39.81 Typical High $56.23 | Professional | 55 · Aftercare only | $37.15 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.92 Typical High $37.15 | Professional | 56 · Pre-op care only | $24.55 | $26.92 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $186.21 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $173.78 | $186.21 | $263.03 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$331
AK $776TX $214
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.