How much rates vary
Facilitymedian $251 · 10th to 90th $107 to $1,000Professionalmedian $200 · 10th to 90th $39 to $417
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 $234.42 Median $4,677.35 Typical High $20,892.96 | Facility | None | $234.42 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $257.04 | Professional | None | $194.98 | $223.87 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $660.69 Typical High $1,318.26 | Facility | None | $114.82 | $660.69 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $1,698.24 | Professional | None | $204.17 | $354.81 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $346.74 | Facility | None | $66.07 | $208.93 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $380.19 | Professional | None | $177.83 | $213.80 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $426.58 | Professional | None | $151.36 | $245.47 | $426.58 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $165.96 Typical High $389.05 | Professional | None | $34.67 | $165.96 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $331.13 Typical High $371.54 | Facility | None | $245.47 | $331.13 | $371.54 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $128.82 Typical High $239.88 | Facility | None | $74.13 | $128.82 | $239.88 |
Premera BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | None | $208.93 | $208.93 | $251.19 |
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 $204.17 Median $245.47 Typical High $389.05 | Professional | None | $204.17 | $245.47 | $389.05 |
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 $181.97 Median $234.42 Typical High $478.63 | Professional | None | $181.97 | $234.42 | $478.63 |
Wellpoint Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $338.84 | Professional | None | $158.49 | $223.87 | $338.84 |
7 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 $97.72 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $158.49 Typical High $177.83 | Professional | 54 · Surgery only | $144.54 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $35.48 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.38 Typical High $23.44 | Professional | 56 · Pre-op care only | $19.50 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $147.91 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $134.90 | $147.91 | $165.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $1,023.29 Typical High $1,949.84 | Facility | 50 · Both sides | $691.83 | $1,023.29 | $1,949.84 |
Where Washington sits
The same service costs 4.6 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· 32nd of 51
$200
AK $617FL $135
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.