How much rates vary
Facilitymedian $234 · 10th to 90th $98 to $1,148Professionalmedian $155 · 10th to 90th $83 to $309
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 $151.36 Median $4,677.35 Typical High $20,892.96 | Facility | None | $151.36 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $162.18 | Professional | None | $89.13 | $112.20 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $691.83 Typical High $1,348.96 | Facility | None | $54.95 | $691.83 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $1,071.52 | Professional | None | $107.15 | $204.17 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $1,000.00 | Facility | None | $120.23 | $234.42 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $223.87 | Professional | None | $89.13 | $117.49 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $251.19 | Professional | None | $89.13 | $141.25 | $251.19 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $162.18 Typical High $309.03 | Professional | None | $56.23 | $162.18 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $239.88 | Facility | None | $138.04 | $204.17 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $213.80 | Facility | None | $69.18 | $109.65 | $213.80 |
Premera BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | None | $109.65 | $109.65 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $724.44 Typical High $1,318.26 | Facility | None | $537.03 | $724.44 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $239.88 | Professional | None | $107.15 | $162.18 | $239.88 |
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 $93.33 Median $141.25 Typical High $263.03 | Professional | None | $93.33 | $141.25 | $263.03 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $181.97 | Professional | None | $74.13 | $128.82 | $181.97 |
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 $50.12 Median $54.95 Typical High $75.86 | Professional | 52 · Reduced service | $50.12 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $83.18 Typical High $114.82 | Professional | 54 · Surgery only | $75.86 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $22.91 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $77.62 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $70.79 | $77.62 | $107.15 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $794.33 Median $1,071.52 Typical High $1,949.84 | Facility | 50 · Both sides | $794.33 | $1,071.52 | $1,949.84 |
Where Washington sits
The same service costs 3.7 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· 11th of 51
$158
AK $324KY $87.10
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.