How much rates vary
Facilitymedian $5,129 · 10th to 90th $955 to $25,119Professionalmedian $6,026 · 10th to 90th $646 to $12,589
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 $977.24 Median $11,220.18 Typical High $25,118.86 | Facility | None | $977.24 | $11,220.18 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $2,238.72 Typical High $9,332.54 | Professional | None | $602.56 | $2,238.72 | $9,332.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $316.23 Median $19,952.62 Typical High $41,686.94 | Facility | None | $316.23 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $8,317.64 Typical High $52,480.75 | Professional | None | $645.65 | $8,317.64 | $52,480.75 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,011.87 Typical High $8,709.64 | Facility | None | $707.95 | $5,011.87 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,548.82 Typical High $10,232.93 | Professional | None | $575.44 | $1,548.82 | $10,232.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $5,623.41 Typical High $14,454.40 | Professional | None | $588.84 | $5,623.41 | $14,454.40 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $5,888.44 Typical High $12,882.50 | Professional | None | $724.44 | $5,888.44 | $12,882.50 |
Pacific Source Setting Facility Modifier None Typical Low $7,585.78 Median $10,471.29 Typical High $13,182.57 | Facility | None | $7,585.78 | $10,471.29 | $13,182.57 |
Premera BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $7,079.46 | Facility | None | $2,951.21 | $3,981.07 | $7,079.46 |
Premera BCBS Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $7,585.78 | Professional | None | $645.65 | $645.65 | $7,585.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $39,810.72 | Facility | None | $15,848.93 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $3,467.37 Typical High $11,481.54 | Professional | None | $645.65 | $3,467.37 | $11,481.54 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $616.60 Median $5,623.41 Typical High $12,589.25 | Professional | None | $616.60 | $5,623.41 | $12,589.25 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $5,754.40 Typical High $8,511.38 | Professional | None | $426.58 | $5,754.40 | $8,511.38 |
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 $295.12 Median $2,398.83 Typical High $4,677.35 | Professional | 52 · Reduced service | $295.12 | $2,398.83 | $4,677.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $954.99 Typical High $1,862.09 | Professional | 53 · Discontinued | $120.23 | $954.99 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $3,630.78 Typical High $6,918.31 | Professional | 54 · Surgery only | $446.68 | $3,630.78 | $6,918.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $724.44 Typical High $1,380.38 | Professional | 55 · Aftercare only | $89.13 | $724.44 | $1,380.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $478.63 Typical High $933.25 | Professional | 56 · Pre-op care only | $60.26 | $478.63 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $3,388.44 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $416.87 | $3,388.44 | $6,456.54 |
Where Washington sits
The same service costs 5.8 times more in Oklahoma than in Mississippi. 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.
Physician feeFacility fee
OK $20,151MS $3,466
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.