How much rates vary
Facilitymedian $347 · 10th to 90th $78 to $1,380Professionalmedian $234 · 10th to 90th $107 to $398
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 $141.25 Median $4,265.80 Typical High $20,892.96 | Facility | None | $141.25 | $4,265.80 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $269.15 | Professional | None | $128.82 | $162.18 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | None | $162.18 | $162.18 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $69.18 Median $562.34 Typical High $1,096.48 | Facility | None | $69.18 | $562.34 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $1,479.11 | Professional | None | $147.91 | $288.40 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $346.74 | Professional | None | $138.04 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $457.09 | Professional | None | $173.78 | $281.84 | $457.09 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $239.88 Typical High $389.05 | Professional | None | $42.66 | $239.88 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $363.08 | Facility | None | $199.53 | $295.12 | $363.08 |
Premera BCBS Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $239.88 | Facility | None | $56.23 | $75.86 | $239.88 |
Premera BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $245.47 | Professional | None | $151.36 | $151.36 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $239.88 Typical High $363.08 | Professional | None | $147.91 | $239.88 | $363.08 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $436.52 | Professional | None | $141.25 | $223.87 | $436.52 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $251.19 | Professional | None | $128.82 | $194.98 | $251.19 |
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 $70.79 Median $81.28 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $32.36 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $123.03 Typical High $177.83 | Professional | 54 · Surgery only | $104.71 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $24.55 Typical High $36.31 | Professional | 55 · Aftercare only | $20.89 | $24.55 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $16.22 Typical High $23.99 | Professional | 56 · Pre-op care only | $14.13 | $16.22 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $114.82 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $97.72 | $114.82 | $165.96 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 8th of 51
$240
AK $447KY $132
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.