How much rates vary
Facilitymedian $347 · 10th to 90th $138 to $2,884Professionalmedian $427 · 10th to 90th $62 to $776
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 $467.74 Median $6,165.95 Typical High $20,892.96 | Facility | None | $467.74 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $467.74 | Professional | None | $346.74 | $436.52 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $1,698.24 Typical High $3,467.37 | Facility | None | $169.82 | $1,698.24 | $3,467.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $3,019.95 | Professional | None | $363.08 | $676.08 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $295.12 Typical High $501.19 | Facility | None | $66.07 | $295.12 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $794.33 | Professional | None | $331.13 | $426.58 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $512.86 Typical High $870.96 | Professional | None | $239.88 | $512.86 | $870.96 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $398.11 Typical High $741.31 | Professional | None | $53.70 | $398.11 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $707.95 | Facility | None | $501.19 | $630.96 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $389.05 | Facility | None | $123.03 | $218.78 | $389.05 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | None | $371.54 | $371.54 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,819.70 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $741.31 | Professional | None | $363.08 | $478.63 | $741.31 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $2,884.03 | Facility | None | $134.90 | $346.74 | $2,884.03 |
United Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $912.01 | Professional | None | $346.74 | $457.09 | $912.01 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $512.86 | Professional | None | $223.87 | $363.08 | $512.86 |
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 $169.82 Median $186.21 Typical High $234.42 | Professional | 52 · Reduced service | $169.82 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $75.86 Typical High $93.33 | Professional | 53 · Discontinued | $69.18 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $281.84 Typical High $354.81 | Professional | 54 · Surgery only | $257.04 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $70.79 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $37.15 Typical High $46.77 | Professional | 56 · Pre-op care only | $34.67 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $263.03 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $239.88 | $263.03 | $331.13 |
Where Washington sits
The same service costs 4.0 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· 14th of 51
$427
AK $1,096TX $275
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.