How much rates vary
Facilitymedian $631 · 10th to 90th $200 to $2,884Professionalmedian $468 · 10th to 90th $62 to $851
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 $323.59 Median $6,165.95 Typical High $20,892.96 | Facility | None | $323.59 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $616.60 | Professional | None | $309.03 | $371.54 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $831.76 | Professional | None | $309.03 | $309.03 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $1,148.15 Typical High $2,398.83 | Facility | None | $190.55 | $1,148.15 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $331.13 Median $630.96 Typical High $3,388.44 | Professional | None | $331.13 | $630.96 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $707.95 Typical High $1,148.15 | Facility | None | $549.54 | $707.95 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $758.58 | Professional | None | $302.00 | $467.74 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $1,023.29 | Professional | None | $426.58 | $616.60 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $446.68 Typical High $831.76 | Professional | None | $52.48 | $446.68 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $812.83 | Facility | None | $457.09 | $724.44 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $588.84 | Facility | None | $223.87 | $346.74 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $549.54 | Professional | None | $338.84 | $338.84 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,819.70 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $794.33 | Professional | None | $331.13 | $524.81 | $794.33 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $2,884.03 | Facility | None | $134.90 | $346.74 | $2,884.03 |
United Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $977.24 | Professional | None | $316.23 | $512.86 | $977.24 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $562.34 | Professional | None | $288.40 | $436.52 | $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 $162.18 Median $186.21 Typical High $275.42 | Professional | 52 · Reduced service | $162.18 | $186.21 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $109.65 | Professional | 53 · Discontinued | $64.57 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $275.42 Typical High $407.38 | Professional | 54 · Surgery only | $239.88 | $275.42 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $54.95 Typical High $81.28 | Professional | 55 · Aftercare only | $47.86 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $37.15 Typical High $54.95 | Professional | 56 · Pre-op care only | $32.36 | $37.15 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $257.04 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $223.87 | $257.04 | $380.19 |
Where Washington sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 14th of 51
$468
AK $1,000UT $302
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.