How much rates vary
Facilitymedian $891 · 10th to 90th $490 to $6,166Professionalmedian $380 · 10th to 90th $51 to $813
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 $186.21 Median $3,548.13 Typical High $20,417.38 | Facility | None | $186.21 | $3,548.13 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $562.34 | Professional | None | $186.21 | $346.74 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $588.84 | Professional | None | $363.08 | $363.08 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $741.31 Typical High $6,165.95 | Facility | None | $125.89 | $741.31 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $194.98 Median $501.19 Typical High $3,235.94 | Professional | None | $194.98 | $501.19 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,819.70 | Facility | None | $467.74 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $380.19 Typical High $602.56 | Professional | None | $173.78 | $380.19 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $575.44 Typical High $1,348.96 | Professional | None | $194.98 | $575.44 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $371.54 Typical High $794.33 | Professional | None | $46.77 | $371.54 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $758.58 | Facility | None | $426.58 | $691.83 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,318.26 | Facility | None | $549.54 | $758.58 | $1,318.26 |
Premera BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $489.78 | Professional | None | $199.53 | $199.53 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,235.94 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $426.58 Typical High $724.44 | Professional | None | $194.98 | $426.58 | $724.44 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,456.54 | Facility | None | $588.84 | $977.24 | $6,456.54 |
United Setting Professional Modifier None Typical Low $181.97 Median $416.87 Typical High $794.33 | Professional | None | $181.97 | $416.87 | $794.33 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $371.54 Typical High $537.03 | Professional | None | $141.25 | $371.54 | $537.03 |
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 $93.33 Median $158.49 Typical High $263.03 | Professional | 52 · Reduced service | $93.33 | $158.49 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $63.10 Typical High $104.71 | Professional | 53 · Discontinued | $37.15 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $234.42 Typical High $389.05 | Professional | 54 · Surgery only | $141.25 | $234.42 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $46.77 Typical High $77.62 | Professional | 55 · Aftercare only | $28.18 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $31.62 Typical High $52.48 | Professional | 56 · Pre-op care only | $18.62 | $31.62 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $218.78 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $131.83 | $218.78 | $363.08 |
Where Washington sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 17th of 51
$389
AK $759KY $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.