How much rates vary
Facilitymedian $5,754 · 10th to 90th $891 to $25,704Professionalmedian $832 · 10th to 90th $138 to $1,995
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 $1,445.44 Median $11,220.18 Typical High $25,118.86 | Facility | None | $1,445.44 | $11,220.18 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,445.44 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $1,949.84 | Professional | None | $138.04 | $269.15 | $1,949.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $776.25 Median $18,620.87 Typical High $38,018.94 | Facility | None | $776.25 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,548.82 Median $8,128.31 Typical High $8,912.51 | Professional | None | $1,548.82 | $8,128.31 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,760.83 Typical High $11,748.98 | Facility | None | $707.95 | $6,760.83 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,348.96 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $9,549.93 | Professional | None | $1,258.93 | $2,951.21 | $9,549.93 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $707.95 Typical High $1,862.09 | Professional | None | $128.82 | $707.95 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $2,290.87 | Facility | None | $1,584.89 | $2,137.96 | $2,290.87 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Facility | None | $1,513.56 | $1,513.56 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $19,498.45 Typical High $38,018.94 | Facility | None | $14,454.40 | $19,498.45 | $38,018.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,548.82 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,584.89 | $3,162.28 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,412.54 | $2,137.96 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Where Washington sits
The same service costs 5.1 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.
Physician feeFacility fee
AK $14,343KY $2,808
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.