How much rates vary
Facilitymedian $468 · 10th to 90th $151 to $1,738Professionalmedian $457 · 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 $416.87 Median $6,025.60 Typical High $20,892.96 | Facility | None | $416.87 | $6,025.60 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $602.56 | Professional | None | $302.00 | $363.08 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $758.58 | Professional | None | $363.08 | $363.08 | $758.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $181.97 Median $812.83 Typical High $1,862.09 | Facility | None | $181.97 | $812.83 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $3,311.31 | Professional | None | $323.59 | $616.60 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $1,071.52 | Facility | None | $302.00 | $575.44 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $741.31 | Professional | None | $302.00 | $457.09 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $933.25 | Professional | None | $269.15 | $489.78 | $933.25 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $446.68 Typical High $831.76 | Professional | None | $53.70 | $446.68 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $776.25 | Facility | None | $436.52 | $707.95 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $436.52 | Facility | None | $120.23 | $223.87 | $436.52 |
Premera BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $537.03 | Professional | None | $331.13 | $331.13 | $537.03 |
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 $323.59 Median $512.86 Typical High $776.25 | Professional | None | $323.59 | $512.86 | $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 $309.03 Median $501.19 Typical High $954.99 | Professional | None | $309.03 | $501.19 | $954.99 |
Wellpoint Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $562.34 | Professional | None | $275.42 | $426.58 | $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 $154.88 Median $169.82 Typical High $263.03 | Professional | 52 · Reduced service | $154.88 | $169.82 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $107.15 | Professional | 53 · Discontinued | $61.66 | $67.61 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $251.19 Typical High $398.11 | Professional | 54 · Surgery only | $234.42 | $251.19 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $51.29 Typical High $79.43 | Professional | 55 · Aftercare only | $46.77 | $51.29 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.88 Typical High $52.48 | Professional | 56 · Pre-op care only | $30.90 | $33.88 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $234.42 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $218.78 | $234.42 | $371.54 |
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· 12th of 51
$457
AK $977MD $282
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.