How much rates vary
Facilitymedian $1,905 · 10th to 90th $891 to $12,023Professionalmedian $407 · 10th to 90th $83 to $977
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 $676.08 Median $9,549.93 Typical High $21,877.62 | Facility | None | $676.08 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $812.83 | Professional | None | $501.19 | $660.69 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $436.52 Median $1,412.54 Typical High $12,302.69 | Facility | None | $436.52 | $1,412.54 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $691.83 Median $3,715.35 Typical High $4,265.80 | Professional | None | $691.83 | $3,715.35 | $4,265.80 |
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 $501.19 Median $602.56 Typical High $1,148.15 | Professional | None | $501.19 | $602.56 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $1,412.54 Typical High $3,162.28 | Professional | None | $562.34 | $1,412.54 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $346.74 Typical High $912.01 | Professional | None | $81.28 | $346.74 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $954.99 Typical High $1,023.29 | Facility | None | $691.83 | $954.99 | $1,023.29 |
Premera BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,691.53 | Facility | None | $954.99 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $691.83 Median $691.83 Typical High $1,174.90 | Professional | None | $691.83 | $691.83 | $1,174.90 |
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 $549.54 Median $707.95 Typical High $1,380.38 | Professional | None | $549.54 | $707.95 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,047.13 | Professional | None | $489.78 | $660.69 | $1,047.13 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Where Washington sits
The same service costs 5.0 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 $8,351MT $1,664
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.