How much rates vary
Facilitymedian $2,570 · 10th to 90th $912 to $20,417Professionalmedian $759 · 10th to 90th $129 to $2,188
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 $1,445.44 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,445.44 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,445.44 | $1,445.44 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $1,621.81 Typical High $22,387.21 | Facility | None | $691.83 | $1,621.81 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $7,762.47 Typical High $7,762.47 | Professional | None | $1,479.11 | $7,762.47 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,801.89 Typical High $7,244.36 | Facility | None | $891.25 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,380.38 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $6,025.60 | Professional | None | $1,513.56 | $2,691.53 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $616.60 Typical High $2,041.74 | Professional | None | $123.03 | $616.60 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,584.89 | $1,995.26 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,000.00 | $2,818.38 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,479.11 | $2,137.96 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $22,908.68 | Facility | None | $1,202.26 | $1,949.84 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,318.26 | $1,819.70 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,288.25 | $1,862.09 |
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 $724.44 Median $724.44 Typical High $794.33 | Professional | 52 · Reduced service | $724.44 | $724.44 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | 53 · Discontinued | $288.40 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,096.48 |
Where Washington sits
The same service costs 4.6 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.
Physician feeFacility fee
AK $11,283KY $2,440
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.