How much rates vary
Facilitymedian $912 · 10th to 90th $589 to $6,166Professionalmedian $479 · 10th to 90th $62 to $891
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 $6,165.95 Typical High $20,892.96 | Facility | None | $380.19 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $588.84 | Professional | None | $309.03 | $398.11 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $1,148.15 Typical High $6,165.95 | Facility | None | $177.83 | $1,148.15 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $3,388.44 | Professional | None | $380.19 | $707.95 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $1,905.46 | Facility | None | $630.96 | $1,047.13 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $851.14 | Professional | None | $338.84 | $467.74 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $1,412.54 | Professional | None | $478.63 | $831.76 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $457.09 Typical High $870.96 | Professional | None | $53.70 | $457.09 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $776.25 | Facility | None | $446.68 | $741.31 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,318.26 | Facility | None | $549.54 | $758.58 | $1,318.26 |
Premera BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None | $380.19 | $380.19 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,235.94 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $794.33 | Professional | None | $380.19 | $537.03 | $794.33 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,456.54 | Facility | None | $588.84 | $977.24 | $6,456.54 |
United Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $977.24 | Professional | None | $354.81 | $501.19 | $977.24 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $562.34 | Professional | None | $239.88 | $398.11 | $562.34 |
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 $177.83 Median $194.98 Typical High $257.04 | Professional | 52 · Reduced service | $177.83 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $77.62 Typical High $104.71 | Professional | 53 · Discontinued | $72.44 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $389.05 | Professional | 54 · Surgery only | $269.15 | $295.12 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $77.62 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $38.90 Typical High $51.29 | Professional | 56 · Pre-op care only | $36.31 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $275.42 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $251.19 | $275.42 | $363.08 |
Where Washington sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 17th of 51
$501
AK $1,259UT $324
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.