How much rates vary
Facilitymedian $550 · 10th to 90th $178 to $7,586Professionalmedian $339 · 10th to 90th $55 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 $457.09 Median $6,165.95 Typical High $20,892.96 | Facility | None | $457.09 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | None | $281.84 | $281.84 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $131.83 Median $4,897.79 Typical High $10,000.00 | Facility | None | $131.83 | $4,897.79 | $10,000.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $478.63 Typical High $2,511.89 | Professional | None | $257.04 | $478.63 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $288.40 Typical High $489.78 | Facility | None | $66.07 | $288.40 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $575.44 | Professional | None | $218.78 | $331.13 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $707.95 | Professional | None | $223.87 | $389.05 | $707.95 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $323.59 Typical High $660.69 | Professional | None | $50.12 | $323.59 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $575.44 | Facility | None | $338.84 | $537.03 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $371.54 | Facility | None | $147.91 | $213.80 | $371.54 |
Premera BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $398.11 | Professional | None | $257.04 | $257.04 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $10,000.00 | Facility | None | $3,548.13 | $5,370.32 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $575.44 | Professional | None | $257.04 | $398.11 | $575.44 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $8,128.31 | Facility | None | $588.84 | $977.24 | $8,128.31 |
United Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $707.95 | Professional | None | $239.88 | $380.19 | $707.95 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $426.58 | Professional | None | $239.88 | $346.74 | $426.58 |
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 $141.25 Median $141.25 Typical High $229.09 | Professional | 52 · Reduced service | $141.25 | $141.25 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $91.20 | Professional | 53 · Discontinued | $56.23 | $56.23 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $338.84 | Professional | 54 · Surgery only | $208.93 | $208.93 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $67.61 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $45.71 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $194.98 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $194.98 | $194.98 | $316.23 |
Where Washington sits
The same service costs 3.5 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· 17th of 51
$347
AK $759TX $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.