How much rates vary
Facilitymedian $269 · 10th to 90th $115 to $1,023Professionalmedian $251 · 10th to 90th $62 to $457
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 $269.15 Median $5,128.61 Typical High $20,892.96 | Facility | None | $269.15 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $269.15 | Professional | None | $107.15 | $173.78 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $691.83 Typical High $1,348.96 | Facility | None | $75.86 | $691.83 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $165.96 Median $389.05 Typical High $1,621.81 | Professional | None | $165.96 | $389.05 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $199.53 Typical High $338.84 | Facility | None | $66.07 | $199.53 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $478.63 | Professional | None | $123.03 | $213.80 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $457.09 | Professional | None | $154.88 | $257.04 | $457.09 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $251.19 Typical High $446.68 | Professional | None | $47.86 | $251.19 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $371.54 | Facility | None | $257.04 | $346.74 | $371.54 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $251.19 | Facility | None | $107.15 | $141.25 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $257.04 | Professional | None | $151.36 | $151.36 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,348.96 | Facility | None | $537.03 | $707.95 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $446.68 | Professional | None | $147.91 | $257.04 | $446.68 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $954.99 | Facility | None | $134.90 | $346.74 | $954.99 |
United Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $489.78 | Professional | None | $134.90 | $251.19 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $275.42 | Professional | None | $141.25 | $218.78 | $275.42 |
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 $75.86 Median $91.20 Typical High $134.90 | Professional | 52 · Reduced service | $75.86 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $53.70 | Professional | 53 · Discontinued | $30.20 | $37.15 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $138.04 Typical High $204.17 | Professional | 54 · Surgery only | $112.20 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $27.54 Typical High $40.74 | Professional | 55 · Aftercare only | $22.39 | $27.54 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $18.62 Typical High $26.92 | Professional | 56 · Pre-op care only | $15.14 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $128.82 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $104.71 | $128.82 | $190.55 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $812.83 Median $1,071.52 Typical High $2,041.74 | Facility | 50 · Both sides | $812.83 | $1,071.52 | $2,041.74 |
Where Washington sits
The same service costs 4.5 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· 11th of 51
$251
AK $457KY $102
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.