How much rates vary
Facilitymedian $912 · 10th to 90th $468 to $6,166Professionalmedian $282 · 10th to 90th $47 to $617
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 $363.08 Median $5,128.61 Typical High $20,892.96 | Facility | None | $363.08 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $363.08 | Professional | None | $199.53 | $239.88 | $363.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $870.96 Typical High $6,165.95 | Facility | None | $107.15 | $870.96 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $2,344.23 | Professional | None | $213.80 | $446.68 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,023.29 Typical High $1,819.70 | Facility | None | $467.74 | $1,023.29 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $457.09 | Professional | None | $186.21 | $281.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $1,318.26 | Professional | None | $190.55 | $436.52 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $263.03 Typical High $588.84 | Professional | None | $40.74 | $263.03 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $524.81 | Facility | None | $263.03 | $478.63 | $524.81 |
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 $213.80 Median $213.80 Typical High $371.54 | Professional | None | $213.80 | $213.80 | $371.54 |
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 $213.80 Median $371.54 Typical High $537.03 | Professional | None | $213.80 | $371.54 | $537.03 |
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 $194.98 Median $331.13 Typical High $588.84 | Professional | None | $194.98 | $331.13 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $398.11 | Professional | None | $144.54 | $281.84 | $398.11 |
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 $100.00 Median $120.23 Typical High $181.97 | Professional | 52 · Reduced service | $100.00 | $120.23 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $47.86 Typical High $72.44 | Professional | 53 · Discontinued | $39.81 | $47.86 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $177.83 Typical High $275.42 | Professional | 54 · Surgery only | $151.36 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $35.48 Typical High $54.95 | Professional | 55 · Aftercare only | $30.20 | $35.48 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $23.99 Typical High $36.31 | Professional | 56 · Pre-op care only | $19.95 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $165.96 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $141.25 | $165.96 | $257.04 |
Where Washington sits
The same service costs 4.5 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· 20th of 51
$288
AK $759KY $170
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.