How much rates vary
Facilitymedian $355 · 10th to 90th $141 to $1,349Professionalmedian $759 · 10th to 90th $98 to $1,549
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 $616.60 Median $6,165.95 Typical High $27,542.29 | Facility | None | $616.60 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $870.96 | Professional | None | $616.60 | $758.58 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $707.95 Typical High $1,445.44 | Facility | None | $323.59 | $707.95 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $6,025.60 | Professional | None | $660.69 | $1,230.27 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $1,000.00 | Facility | None | $173.78 | $338.84 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,318.26 | Professional | None | $660.69 | $891.25 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $812.83 Typical High $1,659.59 | Professional | None | $165.96 | $812.83 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $724.44 Typical High $1,513.56 | Professional | None | $85.11 | $724.44 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,479.11 | Facility | None | $1,000.00 | $1,318.26 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $407.38 | Facility | None | $112.20 | $186.21 | $407.38 |
Premera BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $933.25 | Professional | None | $660.69 | $660.69 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,412.54 | Facility | None | $549.54 | $741.31 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,380.38 | Professional | None | $660.69 | $912.01 | $1,380.38 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $954.99 | Facility | None | $134.90 | $346.74 | $954.99 |
United Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,584.89 | Professional | None | $630.96 | $933.25 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $1,023.29 | Professional | None | $426.58 | $724.44 | $1,023.29 |
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 $309.03 Median $346.74 Typical High $436.52 | Professional | 52 · Reduced service | $309.03 | $346.74 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $141.25 Typical High $177.83 | Professional | 53 · Discontinued | $123.03 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $524.81 Typical High $660.69 | Professional | 54 · Surgery only | $457.09 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $104.71 Typical High $131.83 | Professional | 55 · Aftercare only | $91.20 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $69.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $61.66 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $489.78 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $426.58 | $489.78 | $616.60 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 29th of 51
$741
AK $1,950MD $537
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.