How much rates vary
Facilitymedian $324 · 10th to 90th $68 to $2,291Professionalmedian $229 · 10th to 90th $93 to $398
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 $138.04 Median $1,995.26 Typical High $17,378.01 | Facility | None | $138.04 | $1,995.26 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $275.42 | Professional | None | $87.10 | $147.91 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $363.08 | Professional | None | $173.78 | $173.78 | $363.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $67.61 Median $1,071.52 Typical High $2,187.76 | Facility | None | $67.61 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $123.03 Median $257.04 Typical High $1,412.54 | Professional | None | $123.03 | $257.04 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $199.53 Typical High $316.23 | Professional | None | $112.20 | $199.53 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $426.58 | Professional | None | $144.54 | $239.88 | $426.58 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $239.88 Typical High $389.05 | Professional | None | $42.66 | $239.88 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $316.23 Typical High $338.84 | Facility | None | $147.91 | $316.23 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $223.87 | Facility | None | $32.36 | $42.66 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $229.09 | Professional | None | $128.82 | $128.82 | $229.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $776.25 | $1,174.90 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $338.84 | Professional | None | $123.03 | $213.80 | $338.84 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,621.81 | Facility | None | $134.90 | $346.74 | $1,621.81 |
United Setting Professional Modifier None Typical Low $114.82 Median $208.93 Typical High $407.38 | Professional | None | $114.82 | $208.93 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $239.88 | Professional | None | $123.03 | $190.55 | $239.88 |
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 $69.18 Median $72.44 Typical High $131.83 | Professional | 52 · Reduced service | $69.18 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $53.70 | Professional | 53 · Discontinued | $27.54 | $28.84 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $107.15 Typical High $199.53 | Professional | 54 · Surgery only | $104.71 | $107.15 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.38 Typical High $39.81 | Professional | 55 · Aftercare only | $20.89 | $21.38 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.45 Typical High $26.30 | Professional | 56 · Pre-op care only | $13.80 | $14.45 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $100.00 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $97.72 | $100.00 | $186.21 |
Where Washington sits
The same service costs 4.5 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· 7th of 51
$229
AK $407KY $91.20
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.