How much rates vary
Facilitymedian $234 · 10th to 90th $95 to $776Professionalmedian $347 · 10th to 90th $47 to $813
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 $213.80 Median $1,071.52 Typical High $20,892.96 | Facility | None | $213.80 | $1,071.52 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $467.74 | Professional | None | $181.97 | $263.03 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $109.65 Median $537.03 Typical High $1,096.48 | Facility | None | $109.65 | $537.03 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $194.98 Median $489.78 Typical High $3,235.94 | Professional | None | $194.98 | $489.78 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $169.82 Typical High $288.40 | Facility | None | $66.07 | $169.82 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $512.86 | Professional | None | $162.18 | $281.84 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $707.95 | Professional | None | $131.83 | $263.03 | $707.95 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $346.74 Typical High $794.33 | Professional | None | $40.74 | $346.74 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $676.08 | Facility | None | $346.74 | $549.54 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $114.82 Typical High $218.78 | Facility | None | $66.07 | $114.82 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $478.63 | Professional | None | $194.98 | $194.98 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $416.87 Typical High $691.83 | Professional | None | $194.98 | $416.87 | $691.83 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $169.82 Median $346.74 Typical High $707.95 | Professional | None | $169.82 | $346.74 | $707.95 |
Wellpoint Setting Professional Modifier None Typical Low $147.91 Median $371.54 Typical High $549.54 | Professional | None | $147.91 | $371.54 | $549.54 |
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 $91.20 Median $144.54 Typical High $234.42 | Professional | 52 · Reduced service | $91.20 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $57.54 Typical High $93.33 | Professional | 53 · Discontinued | $36.31 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $213.80 Typical High $346.74 | Professional | 54 · Surgery only | $138.04 | $213.80 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $42.66 Typical High $69.18 | Professional | 55 · Aftercare only | $27.54 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.84 Typical High $46.77 | Professional | 56 · Pre-op care only | $18.20 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $199.53 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $128.82 | $199.53 | $323.59 |
Where Washington sits
The same service costs 3.6 times more in Wisconsin 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· 9th of 51
$347
WI $603KY $166
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.