How much rates vary
Facilitymedian $1,905 · 10th to 90th $955 to $12,023Professionalmedian $380 · 10th to 90th $83 to $891
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 $616.60 Median $9,549.93 Typical High $24,547.09 | Facility | None | $616.60 | $9,549.93 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $851.14 | Professional | None | $478.63 | $616.60 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $851.14 | Professional | None | $630.96 | $851.14 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $2,089.30 Typical High $12,302.69 | Facility | None | $407.38 | $2,089.30 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $3,548.13 Typical High $3,981.07 | Professional | None | $660.69 | $3,548.13 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $4,265.80 | Facility | None | $1,380.38 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $1,071.52 | Professional | None | $467.74 | $562.34 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $1,348.96 Typical High $3,162.28 | Professional | None | $524.81 | $1,348.96 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $338.84 Typical High $831.76 | Professional | None | $81.28 | $338.84 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $977.24 | Facility | None | $645.65 | $891.25 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,023.29 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $660.69 Median $660.69 Typical High $1,096.48 | Professional | None | $660.69 | $660.69 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,318.26 | Professional | None | $537.03 | $660.69 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $977.24 | Professional | None | $467.74 | $630.96 | $977.24 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
Where Washington sits
The same service costs 5.4 times more in Alabama than in Montana. 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
AL $8,312MT $1,553
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.