How much rates vary
Facilitymedian $550 · 10th to 90th $72 to $5,888Professionalmedian $151 · 10th to 90th $85 to $282
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 $158.49 Median $5,128.61 Typical High $20,892.96 | Facility | None | $158.49 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $158.49 | Professional | None | $112.20 | $123.03 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $63.10 Median $4,073.80 Typical High $8,511.38 | Facility | None | $63.10 | $4,073.80 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $117.49 Median $223.87 Typical High $1,479.11 | Professional | None | $117.49 | $223.87 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $125.89 Typical High $213.80 | Facility | None | $66.07 | $125.89 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $239.88 | Professional | None | $100.00 | $125.89 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $263.03 | Professional | None | $93.33 | $141.25 | $263.03 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $144.54 Typical High $257.04 | Professional | None | $43.65 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $251.19 | Facility | None | $141.25 | $218.78 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $56.23 Median $91.20 Typical High $870.96 | Facility | None | $56.23 | $91.20 | $870.96 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $169.82 | Professional | None | $123.03 | $123.03 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,951.21 | $4,466.84 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $251.19 | Professional | None | $117.49 | $165.96 | $251.19 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $281.84 | Professional | None | $107.15 | $147.91 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $186.21 | Professional | None | $85.11 | $131.83 | $186.21 |
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 $56.23 Median $61.66 Typical High $77.62 | Professional | 52 · Reduced service | $56.23 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $31.62 | Professional | 53 · Discontinued | $22.39 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $93.33 Typical High $117.49 | Professional | 54 · Surgery only | $83.18 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.62 Typical High $23.44 | Professional | 55 · Aftercare only | $16.60 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.30 Typical High $15.85 | Professional | 56 · Pre-op care only | $11.22 | $12.30 | $15.85 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $87.10 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $77.62 | $87.10 | $109.65 |
Where Washington sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 18th of 51
$151
AK $363FL $91.20
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.