How much rates vary
Facilitymedian $589 · 10th to 90th $339 to $10,233Professionalmedian $501 · 10th to 90th $59 to $977
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 $501.19 Median $6,165.95 Typical High $27,542.29 | Facility | None | $501.19 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $691.83 | Professional | None | $501.19 | $575.44 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $239.88 Median $7,585.78 Typical High $15,848.93 | Facility | None | $239.88 | $7,585.78 | $15,848.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $4,073.80 | Professional | None | $501.19 | $933.25 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $933.25 | Facility | None | $416.87 | $512.86 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,122.02 | Professional | None | $512.86 | $724.44 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $776.25 Typical High $1,258.93 | Professional | None | $389.05 | $776.25 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $331.13 Typical High $912.01 | Professional | None | $51.29 | $331.13 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,096.48 | Facility | None | $616.60 | $954.99 | $1,096.48 |
Premera BCBS Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $676.08 | Facility | None | $190.55 | $389.05 | $676.08 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None | $512.86 | $512.86 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Professional | None | $501.19 | $660.69 | $1,023.29 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $11,220.18 | Facility | None | $371.54 | $691.83 | $11,220.18 |
United Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,258.93 | Professional | None | $489.78 | $707.95 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $691.83 | Professional | None | $446.68 | $562.34 | $691.83 |
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 $251.19 Median $269.15 Typical High $346.74 | Professional | 52 · Reduced service | $251.19 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $107.15 Typical High $138.04 | Professional | 53 · Discontinued | $100.00 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $407.38 Typical High $524.81 | Professional | 54 · Surgery only | $371.54 | $407.38 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $81.28 Typical High $104.71 | Professional | 55 · Aftercare only | $74.13 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $53.70 Typical High $69.18 | Professional | 56 · Pre-op care only | $50.12 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $380.19 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $346.74 | $380.19 | $489.78 |
Where Washington sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 31st of 51
$501
AK $1,514TX $295
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.