How much rates vary
Facilitymedian $631 · 10th to 90th $363 to $2,754Professionalmedian $372 · 10th to 90th $59 to $676
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 $275.42 Median $5,128.61 Typical High $20,892.96 | Facility | None | $275.42 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $446.68 | Professional | None | $229.09 | $295.12 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $162.18 Median $933.25 Typical High $2,691.53 | Facility | None | $162.18 | $933.25 | $2,691.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $2,691.53 | Professional | None | $288.40 | $537.03 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $1,096.48 | Facility | None | $524.81 | $645.65 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $645.65 | Professional | None | $257.04 | $371.54 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $812.83 | Professional | None | $363.08 | $549.54 | $812.83 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $354.81 Typical High $660.69 | Professional | None | $53.70 | $354.81 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $630.96 | Facility | None | $436.52 | $602.56 | $630.96 |
Premera BCBS Setting Facility Modifier None Typical Low $316.23 Median $426.58 Typical High $707.95 | Facility | None | $316.23 | $426.58 | $707.95 |
Premera BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $426.58 | Professional | None | $288.40 | $288.40 | $426.58 |
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 $288.40 Median $426.58 Typical High $630.96 | Professional | None | $288.40 | $426.58 | $630.96 |
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 $263.03 Median $407.38 Typical High $776.25 | Professional | None | $263.03 | $407.38 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $446.68 | Professional | None | $245.47 | $371.54 | $446.68 |
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 $134.90 Median $147.91 Typical High $208.93 | Professional | 52 · Reduced service | $134.90 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $83.18 | Professional | 53 · Discontinued | $54.95 | $58.88 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $223.87 Typical High $316.23 | Professional | 54 · Surgery only | $204.17 | $223.87 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $44.67 Typical High $63.10 | Professional | 55 · Aftercare only | $40.74 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $29.51 Typical High $41.69 | Professional | 56 · Pre-op care only | $26.92 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $208.93 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $190.55 | $208.93 | $295.12 |
Where Washington sits
The same service costs 3.6 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· 15th of 51
$380
AK $851KY $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.