How much rates vary
Facilitymedian $209 · 10th to 90th $89 to $813Professionalmedian $186 · 10th to 90th $85 to $324
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 $199.53 Median $5,128.61 Typical High $20,892.96 | Facility | None | $199.53 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $199.53 | Professional | None | $123.03 | $134.90 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $562.34 Typical High $1,096.48 | Facility | None | $60.26 | $562.34 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $1,258.93 | Professional | None | $125.89 | $245.47 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $257.04 | Facility | None | $66.07 | $151.36 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $302.00 | Professional | None | $120.23 | $177.83 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $363.08 | Professional | None | $120.23 | $208.93 | $363.08 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $181.97 Typical High $309.03 | Professional | None | $33.88 | $181.97 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $295.12 | Facility | None | $162.18 | $281.84 | $295.12 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $199.53 | Facility | None | $66.07 | $112.20 | $199.53 |
Premera BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $208.93 | Professional | None | $131.83 | $131.83 | $208.93 |
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 $125.89 Median $204.17 Typical High $302.00 | Professional | None | $125.89 | $204.17 | $302.00 |
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 $120.23 Median $190.55 Typical High $363.08 | Professional | None | $120.23 | $190.55 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $213.80 | Professional | None | $112.20 | $169.82 | $213.80 |
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 $60.26 Median $69.18 Typical High $100.00 | Professional | 52 · Reduced service | $60.26 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.18 Typical High $39.81 | Professional | 53 · Discontinued | $24.55 | $28.18 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $104.71 Typical High $151.36 | Professional | 54 · Surgery only | $91.20 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $20.89 Typical High $30.20 | Professional | 55 · Aftercare only | $18.20 | $20.89 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.13 Typical High $19.95 | Professional | 56 · Pre-op care only | $12.30 | $14.13 | $19.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $97.72 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $85.11 | $97.72 | $141.25 |
Where Washington sits
The same service costs 3.5 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· 11th of 51
$186
AK $389KY $110
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.