How much rates vary
Facilitymedian $437 · 10th to 90th $155 to $1,622Professionalmedian $355 · 10th to 90th $56 to $692
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 $5,128.61 Typical High $20,892.96 | Facility | None | $457.09 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $524.81 | Professional | None | $288.40 | $380.19 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $1,071.52 Typical High $2,187.76 | Facility | None | $177.83 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $2,951.21 | Professional | None | $371.54 | $660.69 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $630.96 | Facility | None | $281.84 | $467.74 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $794.33 | Professional | None | $331.13 | $407.38 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $851.14 | Professional | None | $251.19 | $524.81 | $851.14 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $234.42 Typical High $645.65 | Professional | None | $51.29 | $234.42 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $676.08 | Facility | None | $371.54 | $645.65 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $436.52 | Facility | None | $123.03 | $223.87 | $436.52 |
Premera BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | None | $380.19 | $380.19 | $478.63 |
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 $371.54 Median $467.74 Typical High $724.44 | Professional | None | $371.54 | $467.74 | $724.44 |
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 $346.74 Median $457.09 Typical High $912.01 | Professional | None | $346.74 | $457.09 | $912.01 |
Wellpoint Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $501.19 | Professional | None | $331.13 | $407.38 | $501.19 |
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 $177.83 Median $190.55 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $77.62 Typical High $91.20 | Professional | 53 · Discontinued | $70.79 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $288.40 Typical High $338.84 | Professional | 54 · Surgery only | $263.03 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $57.54 Typical High $67.61 | Professional | 55 · Aftercare only | $53.70 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $45.71 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $269.15 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $245.47 | $269.15 | $316.23 |
Where Washington sits
The same service costs 4.7 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· 27th of 51
$355
AK $1,122TX $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.