How much rates vary
Facilitymedian $331 · 10th to 90th $141 to $1,622Professionalmedian $309 · 10th to 90th $74 to $550
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 $323.59 Median $5,128.61 Typical High $20,892.96 | Facility | None | $323.59 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $323.59 | Professional | None | $213.80 | $245.47 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $104.71 Median $1,071.52 Typical High $2,187.76 | Facility | None | $104.71 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $223.87 Median $426.58 Typical High $2,041.74 | Professional | None | $223.87 | $426.58 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $630.96 | Facility | None | $194.98 | $371.54 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $512.86 | Professional | None | $208.93 | $288.40 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $338.84 Typical High $602.56 | Professional | None | $177.83 | $338.84 | $602.56 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $309.03 Typical High $537.03 | Professional | None | $58.88 | $309.03 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $478.63 | Facility | None | $281.84 | $457.09 | $478.63 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $309.03 | Facility | None | $120.23 | $173.78 | $309.03 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | None | $229.09 | $229.09 | $338.84 |
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 $223.87 Median $331.13 Typical High $489.78 | Professional | None | $223.87 | $331.13 | $489.78 |
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 $213.80 Median $316.23 Typical High $602.56 | Professional | None | $213.80 | $316.23 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $346.74 | Professional | None | $190.55 | $281.84 | $346.74 |
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 $107.15 Median $117.49 Typical High $162.18 | Professional | 52 · Reduced service | $107.15 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $173.78 Typical High $245.47 | Professional | 54 · Surgery only | $158.49 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $34.67 Typical High $48.98 | Professional | 55 · Aftercare only | $32.36 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.44 Typical High $32.36 | Professional | 56 · Pre-op care only | $21.38 | $23.44 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $162.18 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $147.91 | $162.18 | $229.09 |
Where Washington sits
The same service costs 3.5 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· 10th of 51
$316
AK $676TX $191
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.