How much rates vary
Facilitymedian $275 · 10th to 90th $107 to $1,047Professionalmedian $245 · 10th to 90th $47 to $490
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 $281.84 Median $5,128.61 Typical High $20,892.96 | Facility | None | $281.84 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $309.03 | Professional | None | $199.53 | $251.19 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $660.69 Typical High $1,318.26 | Facility | None | $144.54 | $660.69 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $1,995.26 | Professional | None | $263.03 | $436.52 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $354.81 | Facility | None | $66.07 | $208.93 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $467.74 | Professional | None | $213.80 | $257.04 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $512.86 | Professional | None | $169.82 | $275.42 | $512.86 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $208.93 Typical High $478.63 | Professional | None | $41.69 | $208.93 | $478.63 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $436.52 | Facility | None | $295.12 | $380.19 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $257.04 | Facility | None | $70.79 | $128.82 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $302.00 | Professional | None | $269.15 | $269.15 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | None | $457.09 | $691.83 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $467.74 | Professional | None | $263.03 | $288.40 | $467.74 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,000.00 | Facility | None | $134.90 | $346.74 | $1,000.00 |
United Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $575.44 | Professional | None | $229.09 | $288.40 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $426.58 | Professional | None | $199.53 | $275.42 | $426.58 |
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 $125.89 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $125.89 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $204.17 Typical High $208.93 | Professional | 54 · Surgery only | $190.55 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $40.74 Typical High $42.66 | Professional | 55 · Aftercare only | $38.02 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $27.54 Typical High $28.18 | Professional | 56 · Pre-op care only | $25.12 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $190.55 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $177.83 | $190.55 | $194.98 |
Where Washington sits
The same service costs 4.8 times more in Alaska than in Florida. 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· 29th of 51
$245
AK $794FL $166
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.