How much rates vary
Facilitymedian $437 · 10th to 90th $151 to $1,549Professionalmedian $447 · 10th to 90th $59 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 $457.09 Median $6,165.95 Typical High $27,542.29 | Facility | None | $457.09 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $616.60 | Professional | None | $457.09 | $537.03 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $1,122.02 Typical High $2,187.76 | Facility | None | $229.09 | $1,122.02 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $3,801.89 | Professional | None | $478.63 | $870.96 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $630.96 | Facility | None | $302.00 | $467.74 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $1,047.13 | Professional | None | $446.68 | $575.44 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $676.08 Typical High $1,148.15 | Professional | None | $275.42 | $676.08 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $302.00 Typical High $794.33 | Professional | None | $51.29 | $302.00 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $912.01 | Facility | None | $501.19 | $812.83 | $912.01 |
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 $489.78 Median $489.78 Typical High $616.60 | Professional | None | $489.78 | $489.78 | $616.60 |
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 $478.63 Median $616.60 Typical High $954.99 | Professional | None | $478.63 | $616.60 | $954.99 |
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 $446.68 Median $602.56 Typical High $1,174.90 | Professional | None | $446.68 | $602.56 | $1,174.90 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $660.69 | Professional | None | $426.58 | $524.81 | $660.69 |
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 $229.09 Median $251.19 Typical High $309.03 | Professional | 52 · Reduced service | $229.09 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $100.00 Typical High $123.03 | Professional | 53 · Discontinued | $93.33 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $371.54 Typical High $457.09 | Professional | 54 · Surgery only | $346.74 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $74.13 Typical High $91.20 | Professional | 55 · Aftercare only | $69.18 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $50.12 Typical High $61.66 | Professional | 56 · Pre-op care only | $45.71 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $346.74 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $323.59 | $346.74 | $426.58 |
Where Washington sits
The same service costs 6.0 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· 28th of 51
$447
AK $1,445TX $240
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.