How much rates vary
Facilitymedian $437 · 10th to 90th $158 to $6,166Professionalmedian $288 · 10th to 90th $141 to $537
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 $288.40 Median $6,165.95 Typical High $20,892.96 | Facility | None | $288.40 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $316.23 | Professional | None | $169.82 | $218.78 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $4,365.16 Typical High $8,912.51 | Facility | None | $107.15 | $4,365.16 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $199.53 Median $389.05 Typical High $1,995.26 | Professional | None | $199.53 | $389.05 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $630.96 | Facility | None | $218.78 | $407.38 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $416.87 | Professional | None | $173.78 | $245.47 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $489.78 | Professional | None | $173.78 | $275.42 | $489.78 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $288.40 Typical High $537.03 | Professional | None | $93.33 | $288.40 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $426.58 | Facility | None | $239.88 | $389.05 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $295.12 | Facility | None | $114.82 | $169.82 | $295.12 |
Premera BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $302.00 | Professional | None | $204.17 | $204.17 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,162.28 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $436.52 | Professional | None | $199.53 | $302.00 | $436.52 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $6,456.54 | Facility | None | $371.54 | $691.83 | $6,456.54 |
United Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $489.78 | Professional | None | $181.97 | $263.03 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $331.13 | Professional | None | $144.54 | $234.42 | $331.13 |
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 $95.50 Median $104.71 Typical High $144.54 | Professional | 52 · Reduced service | $95.50 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $57.54 | Professional | 53 · Discontinued | $38.02 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $158.49 Typical High $218.78 | Professional | 54 · Surgery only | $141.25 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $43.65 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $20.89 Typical High $28.84 | Professional | 56 · Pre-op care only | $19.05 | $20.89 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $147.91 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $131.83 | $147.91 | $204.17 |
Where Washington sits
The same service costs 3.5 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· 13th of 51
$288
AK $603FL $174
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.