How much rates vary
Facilitymedian $468 · 10th to 90th $182 to $2,692Professionalmedian $339 · 10th to 90th $155 to $575
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 $218.78 Median $4,570.88 Typical High $20,892.96 | Facility | None | $218.78 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $363.08 | Professional | None | $186.21 | $234.42 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $257.04 | Professional | None | $100.00 | $117.49 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $1,348.96 Typical High $2,691.53 | Facility | None | $107.15 | $1,348.96 | $2,691.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $2,137.96 | Professional | None | $229.09 | $426.58 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $933.25 | Facility | None | $223.87 | $416.87 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $524.81 | Professional | None | $204.17 | $302.00 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $616.60 | Professional | None | $199.53 | $346.74 | $616.60 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $346.74 Typical High $549.54 | Professional | None | $61.66 | $346.74 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $416.87 Typical High $512.86 | Facility | None | $281.84 | $416.87 | $512.86 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $338.84 | Facility | None | $147.91 | $194.98 | $338.84 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $346.74 | Professional | None | $229.09 | $229.09 | $346.74 |
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 $229.09 Median $346.74 Typical High $512.86 | Professional | None | $229.09 | $346.74 | $512.86 |
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 $208.93 Median $323.59 Typical High $630.96 | Professional | None | $208.93 | $323.59 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $363.08 | Professional | None | $194.98 | $295.12 | $363.08 |
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 $107.15 Median $117.49 Typical High $169.82 | Professional | 52 · Reduced service | $107.15 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $177.83 Typical High $257.04 | Professional | 54 · Surgery only | $162.18 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $35.48 Typical High $51.29 | Professional | 55 · Aftercare only | $32.36 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $33.88 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $165.96 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $151.36 | $165.96 | $239.88 |
Where Washington sits
The same service costs 3.4 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· 9th of 51
$339
AK $692KY $204
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.