How much rates vary
Facilitymedian $1,380 · 10th to 90th $631 to $6,166Professionalmedian $275 · 10th to 90th $50 to $603
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 $407.38 Median $9,549.93 Typical High $21,877.62 | Facility | None | $407.38 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $446.68 | Professional | None | $354.81 | $407.38 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $199.53 Median $1,513.56 Typical High $6,165.95 | Facility | None | $199.53 | $1,513.56 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $3,162.28 | Professional | None | $380.19 | $630.96 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,290.87 | Facility | None | $707.95 | $1,230.27 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $691.83 | Professional | None | $323.59 | $380.19 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $676.08 Typical High $1,548.82 | Professional | None | $316.23 | $676.08 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $213.80 Typical High $562.34 | Professional | None | $45.71 | $213.80 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $645.65 | Facility | None | $363.08 | $588.84 | $645.65 |
Premera BCBS Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $1,548.82 | Facility | None | $707.95 | $954.99 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | None | $389.05 | $389.05 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,630.78 | $4,677.35 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $691.83 | Professional | None | $380.19 | $426.58 | $691.83 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $6,309.57 | Facility | None | $1,202.26 | $1,949.84 | $6,309.57 |
United Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $851.14 | Professional | None | $338.84 | $426.58 | $851.14 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $562.34 | Professional | None | $269.15 | $380.19 | $562.34 |
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 $177.83 Median $199.53 Typical High $204.17 | Professional | 52 · Reduced service | $177.83 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $309.03 | Professional | 54 · Surgery only | $269.15 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $61.66 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $40.74 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $275.42 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $251.19 | $275.42 | $288.40 |
Where Washington sits
The same service costs 6.8 times more in Alaska than in Utah. 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· 47th of 51
$288
AK $1,288UT $191
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.