How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,202 to $63,096Professionalmedian $1,023 · 10th to 90th $170 to $2,512
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 $1,698.24 Median $13,803.84 Typical High $23,988.33 | Facility | None | $1,698.24 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,698.24 | $1,862.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $977.24 Median $46,773.51 Typical High $95,499.26 | Facility | None | $977.24 | $46,773.51 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $16,218.10 | Professional | None | $1,862.09 | $2,818.38 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $18,197.01 Typical High $33,113.11 | Facility | None | $741.31 | $18,197.01 | $33,113.11 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $2,951.21 | Professional | None | $1,348.96 | $1,621.81 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $3,548.13 Typical High $25,703.96 | Professional | None | $1,513.56 | $3,548.13 | $25,703.96 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $870.96 Typical High $2,398.83 | Professional | None | $162.18 | $870.96 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $2,754.23 | Facility | None | $1,905.46 | $2,630.27 | $2,754.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,819.70 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $37,153.52 Median $50,118.72 Typical High $95,499.26 | Facility | None | $37,153.52 | $50,118.72 | $95,499.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,862.09 | $1,862.09 | $3,090.30 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $69,183.10 | Facility | None | $3,801.89 | $7,244.36 | $69,183.10 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $3,801.89 | Professional | None | $1,584.89 | $1,949.84 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,288.25 | $1,737.80 | $2,691.53 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Where Washington sits
The same service costs 6.7 times more in Wyoming 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.
Physician feeFacility fee
WY $22,217KY $3,299
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.