How much rates vary
Facilitymedian $275 · 10th to 90th $123 to $1,622Professionalmedian $282 · 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 $281.84 Median $5,128.61 Typical High $20,892.96 | Facility | None | $281.84 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $302.00 | Professional | None | $173.78 | $208.93 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $85.11 Median $1,071.52 Typical High $2,187.76 | Facility | None | $85.11 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $1,737.80 | Professional | None | $181.97 | $346.74 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $199.53 Typical High $338.84 | Facility | None | $66.07 | $199.53 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $426.58 | Professional | None | $173.78 | $245.47 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $501.19 | Professional | None | $158.49 | $281.84 | $501.19 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $295.12 Typical High $467.74 | Professional | None | $52.48 | $295.12 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $416.87 | Facility | None | $269.15 | $398.11 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $275.42 | Facility | None | $117.49 | $158.49 | $275.42 |
Premera BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | None | $186.21 | $186.21 | $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 $181.97 Median $288.40 Typical High $426.58 | Professional | None | $181.97 | $288.40 | $426.58 |
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 $173.78 Median $269.15 Typical High $512.86 | Professional | None | $173.78 | $269.15 | $512.86 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $295.12 | Professional | None | $154.88 | $239.88 | $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 $87.10 Median $97.72 Typical High $141.25 | Professional | 52 · Reduced service | $87.10 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $56.23 | Professional | 53 · Discontinued | $34.67 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $144.54 Typical High $208.93 | Professional | 54 · Surgery only | $131.83 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.84 Typical High $41.69 | Professional | 55 · Aftercare only | $26.30 | $28.84 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.50 Typical High $28.18 | Professional | 56 · Pre-op care only | $17.38 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $134.90 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $123.03 | $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· 9th of 51
$282
AK $550MD $158
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.