How much rates vary
Facilitymedian $355 · 10th to 90th $141 to $2,138Professionalmedian $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 $398.11 Median $5,128.61 Typical High $20,892.96 | Facility | None | $398.11 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $398.11 | Professional | None | $165.96 | $218.78 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $83.18 Median $1,479.11 Typical High $3,019.95 | Facility | None | $83.18 | $1,479.11 | $3,019.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $199.53 Median $562.34 Typical High $2,290.87 | Professional | None | $199.53 | $562.34 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $331.13 Typical High $549.54 | Facility | None | $66.07 | $331.13 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $691.83 | Professional | None | $138.04 | $269.15 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $660.69 | Professional | None | $218.78 | $331.13 | $660.69 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $251.19 Typical High $588.84 | Professional | None | $48.98 | $251.19 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $549.54 | Facility | None | $288.40 | $478.63 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $407.38 | Facility | None | $147.91 | $239.88 | $407.38 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $371.54 | Professional | None | $169.82 | $169.82 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,621.81 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $645.65 | Professional | None | $165.96 | $354.81 | $645.65 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $2,137.96 | Facility | None | $134.90 | $346.74 | $2,137.96 |
United Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $707.95 | Professional | None | $151.36 | $316.23 | $707.95 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $389.05 | Professional | None | $154.88 | $239.88 | $389.05 |
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 $83.18 Median $109.65 Typical High $199.53 | Professional | 52 · Reduced service | $83.18 | $109.65 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $43.65 Typical High $79.43 | Professional | 53 · Discontinued | $33.11 | $43.65 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $165.96 Typical High $295.12 | Professional | 54 · Surgery only | $125.89 | $165.96 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $33.11 Typical High $60.26 | Professional | 55 · Aftercare only | $25.12 | $33.11 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $21.88 Typical High $39.81 | Professional | 56 · Pre-op care only | $16.60 | $21.88 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $154.88 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $117.49 | $154.88 | $275.42 |
Where Washington sits
The same service costs 3.9 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.
Washington· 13th of 51
$282
AK $562KY $145
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.