How much rates vary
Facilitymedian $275 · 10th to 90th $112 to $1,622Professionalmedian $275 · 10th to 90th $135 to $479
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 $275.42 Median $5,128.61 Typical High $20,892.96 | Facility | None | $275.42 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $295.12 | Professional | None | $151.36 | $181.97 | $295.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $81.28 Median $1,071.52 Typical High $2,187.76 | Facility | None | $81.28 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $173.78 Median $331.13 Typical High $1,737.80 | Professional | None | $173.78 | $331.13 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $204.17 Typical High $338.84 | Facility | None | $66.07 | $204.17 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $407.38 | Professional | None | $165.96 | $245.47 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $275.42 Typical High $501.19 | Professional | None | $158.49 | $275.42 | $501.19 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $295.12 Typical High $467.74 | Professional | None | $51.29 | $295.12 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $416.87 | Facility | None | $234.42 | $389.05 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $275.42 | Facility | None | $66.07 | $151.36 | $275.42 |
Premera BCBS Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $288.40 | Professional | None | $177.83 | $177.83 | $288.40 |
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 $173.78 Median $281.84 Typical High $416.87 | Professional | None | $173.78 | $281.84 | $416.87 |
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 $165.96 Median $263.03 Typical High $501.19 | Professional | None | $165.96 | $263.03 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $295.12 | Professional | None | $147.91 | $229.09 | $295.12 |
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 $83.18 Median $95.50 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $54.95 | Professional | 53 · Discontinued | $33.11 | $38.02 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $144.54 Typical High $208.93 | Professional | 54 · Surgery only | $125.89 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $28.84 Typical High $41.69 | Professional | 55 · Aftercare only | $25.12 | $28.84 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.05 Typical High $27.54 | Professional | 56 · Pre-op care only | $16.60 | $19.05 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $117.49 | $134.90 | $194.98 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$275
AK $525MD $151
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.