How much rates vary
Facilitymedian $490 · 10th to 90th $66 to $1,778Professionalmedian $324 · 10th to 90th $56 to $741
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 $295.12 Median $6,165.95 Typical High $27,542.29 | Facility | None | $295.12 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $575.44 | Professional | None | $295.12 | $436.52 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $1,071.52 Typical High $2,187.76 | Facility | None | $147.91 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $4,168.69 | Professional | None | $288.40 | $537.03 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $478.63 | Facility | None | $50.12 | $52.48 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $794.33 | Professional | None | $295.12 | $501.19 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $1,148.15 | Professional | None | $380.19 | $630.96 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $269.15 Typical High $724.44 | Professional | None | $51.29 | $269.15 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $851.14 | Facility | None | $478.63 | $741.31 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $524.81 | Facility | None | $32.36 | $40.74 | $524.81 |
Premera BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $537.03 | Professional | None | $302.00 | $302.00 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,148.15 Typical High $2,187.76 | Facility | None | $776.25 | $1,148.15 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $794.33 | Professional | None | $288.40 | $512.86 | $794.33 |
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 $288.40 Median $524.81 Typical High $1,000.00 | Professional | None | $288.40 | $524.81 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $562.34 | Professional | None | $269.15 | $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 $147.91 Median $162.18 Typical High $288.40 | Professional | 52 · Reduced service | $147.91 | $162.18 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $64.57 Typical High $114.82 | Professional | 53 · Discontinued | $58.88 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $245.47 Typical High $426.58 | Professional | 54 · Surgery only | $218.78 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $85.11 | Professional | 55 · Aftercare only | $43.65 | $48.98 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $32.36 Typical High $57.54 | Professional | 56 · Pre-op care only | $29.51 | $32.36 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $229.09 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $204.17 | $229.09 | $398.11 |
Where Washington sits
The same service costs 4.6 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· 37th of 51
$331
AK $1,000TX $219
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.