How much rates vary
Facilitymedian $331 · 10th to 90th $123 to $1,585Professionalmedian $309 · 10th to 90th $56 to $617
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 $524.81 Typical High $17,378.01 | Facility | None | $218.78 | $524.81 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $407.38 | Professional | None | $199.53 | $251.19 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $416.87 | Professional | None | $120.23 | $131.83 | $416.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $1,071.52 Typical High $2,187.76 | Facility | None | $112.20 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $229.09 Median $446.68 Typical High $2,454.71 | Professional | None | $229.09 | $446.68 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $302.00 Typical High $512.86 | Facility | None | $66.07 | $302.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $549.54 | Professional | None | $204.17 | $309.03 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $380.19 Typical High $660.69 | Professional | None | $234.42 | $380.19 | $660.69 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $281.84 Typical High $602.56 | Professional | None | $48.98 | $281.84 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $512.86 Typical High $575.44 | Facility | None | $281.84 | $512.86 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $213.80 Typical High $389.05 | Facility | None | $66.07 | $213.80 | $389.05 |
Premera BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $389.05 | Professional | None | $234.42 | $234.42 | $389.05 |
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 $229.09 Median $371.54 Typical High $575.44 | Professional | None | $229.09 | $371.54 | $575.44 |
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 $213.80 Median $346.74 Typical High $691.83 | Professional | None | $213.80 | $346.74 | $691.83 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $407.38 | Professional | None | $151.36 | $295.12 | $407.38 |
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 $109.65 Median $125.89 Typical High $190.55 | Professional | 52 · Reduced service | $109.65 | $125.89 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $50.12 Typical High $77.62 | Professional | 53 · Discontinued | $43.65 | $50.12 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $186.21 Typical High $288.40 | Professional | 54 · Surgery only | $162.18 | $186.21 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $37.15 Typical High $57.54 | Professional | 55 · Aftercare only | $32.36 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $25.12 Typical High $38.90 | Professional | 56 · Pre-op care only | $21.88 | $25.12 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $173.78 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $151.36 | $173.78 | $269.15 |
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· 15th of 51
$316
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.