How much rates vary
Facilitymedian $525 · 10th to 90th $200 to $2,089Professionalmedian $380 · 10th to 90th $58 to $741
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 $436.52 Median $6,165.95 Typical High $20,892.96 | Facility | None | $436.52 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $467.74 | Professional | None | $281.84 | $436.52 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $141.25 Median $1,000.00 Typical High $2,137.96 | Facility | None | $141.25 | $1,000.00 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $2,630.27 | Professional | None | $316.23 | $630.96 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $1,023.29 | Facility | None | $398.11 | $630.96 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $758.58 | Professional | None | $269.15 | $380.19 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $741.31 | Professional | None | $331.13 | $501.19 | $741.31 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $363.08 Typical High $741.31 | Professional | None | $56.23 | $363.08 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $616.60 | Facility | None | $363.08 | $588.84 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $524.81 | Facility | None | $239.88 | $331.13 | $524.81 |
Premera BCBS Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $398.11 | Professional | None | $275.42 | $275.42 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $3,019.95 | Facility | None | $1,230.27 | $1,621.81 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $707.95 | Professional | None | $309.03 | $457.09 | $707.95 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $2,137.96 | Facility | None | $134.90 | $346.74 | $2,137.96 |
United Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $776.25 | Professional | None | $269.15 | $426.58 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $446.68 | Professional | None | $263.03 | $407.38 | $446.68 |
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 $141.25 Median $169.82 Typical High $218.78 | Professional | 52 · Reduced service | $141.25 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $69.18 Typical High $87.10 | Professional | 53 · Discontinued | $56.23 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | 54 · Surgery only | $213.80 | $257.04 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $51.29 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $33.88 Typical High $43.65 | Professional | 56 · Pre-op care only | $28.18 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $239.88 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $199.53 | $239.88 | $302.00 |
Where Washington sits
The same service costs 3.7 times more in Wisconsin than in Utah. 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· 18th of 51
$389
WI $891UT $240
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.