How much rates vary
Facilitymedian $324 · 10th to 90th $120 to $1,738Professionalmedian $309 · 10th to 90th $56 to $589
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 $194.98 Median $2,754.23 Typical High $20,417.38 | Facility | None | $194.98 | $2,754.23 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $407.38 | Professional | None | $186.21 | $245.47 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $562.34 | Professional | None | $457.09 | $537.03 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $1,071.52 Typical High $2,187.76 | Facility | None | $97.72 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $194.98 Median $407.38 Typical High $2,290.87 | Professional | None | $194.98 | $407.38 | $2,290.87 |
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 $177.83 Median $281.84 Typical High $489.78 | Professional | None | $177.83 | $281.84 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $616.60 | Professional | None | $218.78 | $346.74 | $616.60 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $309.03 Typical High $575.44 | Professional | None | $51.29 | $309.03 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $537.03 | Facility | None | $281.84 | $436.52 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $58.88 Median $204.17 Typical High $363.08 | Facility | None | $58.88 | $204.17 | $363.08 |
Premera BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $363.08 | Professional | None | $199.53 | $199.53 | $363.08 |
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 $194.98 Median $346.74 Typical High $537.03 | Professional | None | $194.98 | $346.74 | $537.03 |
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 $186.21 Median $323.59 Typical High $645.65 | Professional | None | $186.21 | $323.59 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $380.19 | Professional | None | $177.83 | $269.15 | $380.19 |
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 $93.33 Median $112.20 Typical High $181.97 | Professional | 52 · Reduced service | $93.33 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $44.67 Typical High $72.44 | Professional | 53 · Discontinued | $37.15 | $44.67 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $165.96 Typical High $269.15 | Professional | 54 · Surgery only | $138.04 | $165.96 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $33.11 Typical High $53.70 | Professional | 55 · Aftercare only | $28.18 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $22.39 Typical High $36.31 | Professional | 56 · Pre-op care only | $18.62 | $22.39 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $154.88 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $128.82 | $154.88 | $251.19 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Maryland. 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· 11th of 51
$309
AK $631MD $186
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.