How much rates vary
Facilitymedian $479 · 10th to 90th $117 to $5,754Professionalmedian $219 · 10th to 90th $71 to $398
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 $141.25 Median $6,165.95 Typical High $27,542.29 | Facility | None | $141.25 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $218.78 | Professional | None | $141.25 | $173.78 | $218.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $72.44 Median $4,073.80 Typical High $8,511.38 | Facility | None | $72.44 | $4,073.80 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $1,348.96 | Professional | None | $154.88 | $323.59 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $295.12 Typical High $630.96 | Facility | None | $154.88 | $295.12 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $398.11 | Professional | None | $114.82 | $190.55 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $371.54 | Professional | None | $134.90 | $229.09 | $371.54 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $229.09 Typical High $389.05 | Professional | None | $39.81 | $229.09 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $309.03 | Facility | None | $169.82 | $281.84 | $309.03 |
Premera BCBS Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $204.17 | Facility | None | $97.72 | $128.82 | $204.17 |
Premera BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | None | $141.25 | $141.25 | $208.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,951.21 | $4,466.84 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $363.08 | Professional | None | $141.25 | $229.09 | $363.08 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $398.11 | Professional | None | $125.89 | $213.80 | $398.11 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $229.09 | Professional | None | $131.83 | $208.93 | $229.09 |
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 $70.79 Median $83.18 Typical High $109.65 | Professional | 52 · Reduced service | $70.79 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | 53 · Discontinued | $28.18 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $125.89 Typical High $165.96 | Professional | 54 · Surgery only | $107.15 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $25.12 Typical High $33.11 | Professional | 55 · Aftercare only | $21.38 | $25.12 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $16.60 Typical High $21.88 | Professional | 56 · Pre-op care only | $14.13 | $16.60 | $21.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $117.49 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $100.00 | $117.49 | $154.88 |
Where Washington sits
The same service costs 4.4 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· 12th of 51
$219
AK $417KY $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.