How much rates vary
Facilitymedian $457 · 10th to 90th $148 to $1,622Professionalmedian $457 · 10th to 90th $62 to $871
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 $275.42 Median $3,890.45 Typical High $20,417.38 | Facility | None | $275.42 | $3,890.45 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $524.81 | Professional | None | $275.42 | $363.08 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $812.83 Typical High $1,862.09 | Facility | None | $177.83 | $812.83 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $295.12 Median $588.84 Typical High $3,388.44 | Professional | None | $295.12 | $588.84 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $1,023.29 | Facility | None | $302.00 | $575.44 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $724.44 | Professional | None | $263.03 | $426.58 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $933.25 | Professional | None | $269.15 | $467.74 | $933.25 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $446.68 Typical High $851.14 | Professional | None | $53.70 | $446.68 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $316.23 Median $676.08 Typical High $776.25 | Facility | None | $316.23 | $676.08 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $218.78 Typical High $436.52 | Facility | None | $66.07 | $218.78 | $436.52 |
Premera BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $524.81 | Professional | None | $302.00 | $302.00 | $524.81 |
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 $295.12 Median $501.19 Typical High $776.25 | Professional | None | $295.12 | $501.19 | $776.25 |
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 $281.84 Median $478.63 Typical High $933.25 | Professional | None | $281.84 | $478.63 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $398.11 Typical High $562.34 | Professional | None | $199.53 | $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 $138.04 Median $165.96 Typical High $263.03 | Professional | 52 · Reduced service | $138.04 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $66.07 Typical High $104.71 | Professional | 53 · Discontinued | $54.95 | $66.07 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $245.47 Typical High $389.05 | Professional | 54 · Surgery only | $208.93 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $50.12 Typical High $79.43 | Professional | 55 · Aftercare only | $41.69 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.11 Typical High $52.48 | Professional | 56 · Pre-op care only | $27.54 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $229.09 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $194.98 | $229.09 | $363.08 |
Where Washington sits
The same service costs 3.5 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
$457
AK $891MD $257
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.