How much rates vary
Facilitymedian $562 · 10th to 90th $263 to $6,166Professionalmedian $339 · 10th to 90th $51 to $759
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 $331.13 Median $4,265.80 Typical High $20,417.38 | Facility | None | $331.13 | $4,265.80 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $524.81 | Professional | None | $288.40 | $363.08 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $186.21 Median $4,570.88 Typical High $9,332.54 | Facility | None | $186.21 | $4,570.88 | $9,332.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $354.81 Median $660.69 Typical High $3,467.37 | Professional | None | $354.81 | $660.69 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $776.25 | Facility | None | $316.23 | $478.63 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $724.44 | Professional | None | $309.03 | $416.87 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $831.76 | Professional | None | $302.00 | $478.63 | $831.76 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $288.40 Typical High $724.44 | Professional | None | $46.77 | $288.40 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $758.58 | Facility | None | $562.34 | $691.83 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $501.19 | Facility | None | $208.93 | $302.00 | $501.19 |
Premera BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | None | $363.08 | $363.08 | $512.86 |
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 $354.81 Median $512.86 Typical High $758.58 | Professional | None | $354.81 | $512.86 | $758.58 |
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 $316.23 Median $467.74 Typical High $851.14 | Professional | None | $316.23 | $467.74 | $851.14 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $407.38 Typical High $575.44 | Professional | None | $257.04 | $407.38 | $575.44 |
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 $165.96 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $165.96 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $67.61 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $275.42 Typical High $371.54 | Professional | 54 · Surgery only | $251.19 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $54.95 Typical High $74.13 | Professional | 55 · Aftercare only | $50.12 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $257.04 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $234.42 | $257.04 | $346.74 |
Where Washington sits
The same service costs 4.5 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· 36th of 51
$347
AK $1,072TX $240
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.