How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $3,388Professionalmedian $1,380 · 10th to 90th $158 to $3,311
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 $2,137.96 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,137.96 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $2,290.87 | Professional | None | $1,548.82 | $2,137.96 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,174.90 Typical High $10,471.29 | Facility | None | $30.20 | $1,174.90 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,344.23 Median $12,022.64 Typical High $13,803.84 | Professional | None | $2,344.23 | $12,022.64 | $13,803.84 |
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 $2,089.30 Median $2,290.87 Typical High $4,786.30 | Professional | None | $2,089.30 | $2,290.87 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,290.87 | $3,467.37 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $1,174.90 Typical High $3,162.28 | Professional | None | $147.91 | $1,174.90 | $3,162.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $3,388.44 | Facility | None | $1,949.84 | $3,019.95 | $3,388.44 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,344.23 | Facility | None | $2,290.87 | $2,290.87 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $4,786.30 | Professional | None | $2,344.23 | $3,388.44 | $4,786.30 |
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 $2,137.96 Median $2,884.03 Typical High $5,248.07 | Professional | None | $2,137.96 | $2,884.03 | $5,248.07 |
Wellpoint Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $3,090.30 | Professional | None | $2,089.30 | $2,137.96 | $3,090.30 |
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 $1,071.52 Median $1,071.52 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | 53 · Discontinued | $426.58 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,548.82 |
Where Washington sits
The same service costs 7.9 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 $19,273WA $2,428
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.