How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $5,012Professionalmedian $2,188 · 10th to 90th $195 to $5,129
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 $3,235.94 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,235.94 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,388.44 | Professional | None | $3,235.94 | $3,235.94 | $3,388.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,819.70 Typical High $15,848.93 | Facility | None | $30.20 | $1,819.70 | $15,848.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,548.13 Median $6,456.54 Typical High $23,442.29 | Professional | None | $3,548.13 | $6,456.54 | $23,442.29 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $7,079.46 | Professional | None | $3,162.28 | $3,467.37 | $7,079.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $7,079.46 | Professional | None | $3,548.13 | $5,248.07 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $1,862.09 Typical High $4,897.79 | Professional | None | $186.21 | $1,862.09 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $5,128.61 | Facility | None | $3,715.35 | $4,897.79 | $5,128.61 |
Premera BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Premera BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,548.13 Median $5,011.87 Typical High $7,244.36 | Professional | None | $3,548.13 | $5,011.87 | $7,244.36 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $4,365.16 Typical High $7,943.28 | Professional | None | $3,162.28 | $4,365.16 | $7,943.28 |
Wellpoint Setting Professional Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $4,897.79 | Professional | None | $3,235.94 | $3,388.44 | $4,897.79 |
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 $1,621.81 Median $1,621.81 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $676.08 | Professional | 53 · Discontinued | $645.65 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,454.71 | $2,454.71 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | 55 · Aftercare only | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $2,290.87 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $2,290.87 | $2,290.87 | $2,398.83 |
Where Washington sits
The same service costs 10.9 times more in Alabama than in Washington. 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
AL $35,171WA $3,235
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.