How much rates vary
Facilitymedian $2,138 · 10th to 90th $891 to $12,303Professionalmedian $603 · 10th to 90th $95 to $1,479
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 $1,000.00 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,000.00 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,096.48 | Professional | None | $977.24 | $1,000.00 | $1,096.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $562.34 Median $1,621.81 Typical High $12,302.69 | Facility | None | $562.34 | $1,621.81 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,071.52 Median $5,495.41 Typical High $11,481.54 | Professional | None | $1,071.52 | $5,495.41 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,238.72 Typical High $4,073.80 | Facility | None | $891.25 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,698.24 | Professional | None | $707.95 | $831.76 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,819.70 Typical High $3,162.28 | Professional | None | $794.33 | $1,819.70 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $512.86 Typical High $1,380.38 | Professional | None | $85.11 | $512.86 | $1,380.38 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,548.82 | Facility | None | $831.76 | $1,318.26 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,047.13 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,071.52 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $2,041.74 | Professional | None | $831.76 | $1,023.29 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,621.81 | Professional | None | $758.58 | $1,023.29 | $1,621.81 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Where Washington sits
The same service costs 3.1 times more in Wisconsin than in Kansas. 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
WI $7,660KS $2,436
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.