How much rates vary
Facilitymedian $186 · 10th to 90th $78 to $1,000Professionalmedian $135 · 10th to 90th $34 to $288
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 $151.36 Median $5,128.61 Typical High $20,892.96 | Facility | None | $151.36 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $151.36 | Professional | None | $131.83 | $144.54 | $151.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $630.96 Typical High $1,318.26 | Facility | None | $77.62 | $630.96 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $1,071.52 | Professional | None | $134.90 | $229.09 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $218.78 | Facility | None | $66.07 | $128.82 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $257.04 | Professional | None | $117.49 | $141.25 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $281.84 | Professional | None | $100.00 | $158.49 | $281.84 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $120.23 Typical High $269.15 | Professional | None | $31.62 | $120.23 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $239.88 | Facility | None | $158.49 | $218.78 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $151.36 | Facility | None | $63.10 | $91.20 | $151.36 |
Premera BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | None | $144.54 | $144.54 | $165.96 |
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 $134.90 Median $154.88 Typical High $257.04 | Professional | None | $134.90 | $154.88 | $257.04 |
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 $123.03 Median $151.36 Typical High $316.23 | Professional | None | $123.03 | $151.36 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $223.87 | Professional | None | $107.15 | $147.91 | $223.87 |
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 $64.57 Median $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $107.15 Typical High $114.82 | Professional | 54 · Surgery only | $97.72 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $21.38 Typical High $22.91 | Professional | 55 · Aftercare only | $19.50 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.45 Typical High $15.14 | Professional | 56 · Pre-op care only | $13.18 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $100.00 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $91.20 | $100.00 | $107.15 |
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 4.5 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· 28th of 51
$138
AK $427FL $95.50
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.