How much rates vary
Facilitymedian $295 · 10th to 90th $107 to $1,047Professionalmedian $269 · 10th to 90th $45 to $661
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 $389.05 Median $5,128.61 Typical High $20,892.96 | Facility | None | $389.05 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $416.87 | Professional | None | $275.42 | $371.54 | $416.87 |
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 $204.17 Median $630.96 Typical High $1,348.96 | Facility | None | $204.17 | $630.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $2,884.03 | Professional | None | $363.08 | $602.56 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $354.81 | Facility | None | $66.07 | $208.93 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $660.69 | Professional | None | $275.42 | $331.13 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $691.83 | Professional | None | $169.82 | $338.84 | $691.83 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $158.49 Typical High $645.65 | Professional | None | $38.90 | $158.49 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $602.56 | Facility | None | $371.54 | $524.81 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $257.04 | Facility | None | $70.79 | $128.82 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | None | $371.54 | $371.54 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | None | $457.09 | $691.83 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $645.65 | Professional | None | $363.08 | $407.38 | $645.65 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,000.00 | Facility | None | $134.90 | $346.74 | $1,000.00 |
United Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $794.33 | Professional | None | $295.12 | $380.19 | $794.33 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $602.56 | Professional | None | $281.84 | $389.05 | $602.56 |
7 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 $169.82 Median $186.21 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $74.13 Typical High $77.62 | Professional | 53 · Discontinued | $69.18 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $281.84 Typical High $288.40 | Professional | 54 · Surgery only | $257.04 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $57.54 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $37.15 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $263.03 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $239.88 | $263.03 | $269.15 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $1,023.29 Typical High $1,949.84 | Facility | 50 · Both sides | $691.83 | $1,023.29 | $1,949.84 |
Where Washington sits
The same service costs 5.4 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· 44th of 51
$269
AK $1,096TX $204
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.