How much rates vary
Facilitymedian $537 · 10th to 90th $234 to $11,220Professionalmedian $295 · 10th to 90th $50 to $603
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 $398.11 Median $4,677.35 Typical High $20,892.96 | Facility | None | $398.11 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $398.11 | Professional | None | $234.42 | $288.40 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $870.96 Typical High $12,302.69 | Facility | None | $114.82 | $870.96 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $269.15 Median $562.34 Typical High $2,187.76 | Professional | None | $269.15 | $562.34 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $630.96 | Facility | None | $275.42 | $467.74 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $676.08 | Professional | None | $208.93 | $316.23 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $645.65 | Professional | None | $239.88 | $398.11 | $645.65 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $251.19 Typical High $588.84 | Professional | None | $48.98 | $251.19 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $501.19 Typical High $537.03 | Facility | None | $295.12 | $501.19 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $416.87 | Facility | None | $194.98 | $245.47 | $416.87 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | None | $229.09 | $229.09 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $630.96 | Professional | None | $269.15 | $426.58 | $630.96 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $12,882.50 | Facility | None | $588.84 | $977.24 | $12,882.50 |
United Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $691.83 | Professional | None | $213.80 | $363.08 | $691.83 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $371.54 | Professional | None | $213.80 | $338.84 | $371.54 |
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 $125.89 Median $138.04 Typical High $199.53 | Professional | 52 · Reduced service | $125.89 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $81.28 | Professional | 53 · Discontinued | $50.12 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $208.93 Typical High $302.00 | Professional | 54 · Surgery only | $186.21 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $41.69 Typical High $60.26 | Professional | 55 · Aftercare only | $37.15 | $41.69 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $27.54 Typical High $39.81 | Professional | 56 · Pre-op care only | $25.12 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $194.98 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $173.78 | $194.98 | $281.84 |
Where Washington sits
The same service costs 4.3 times more in Wisconsin 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· 24th of 51
$302
WI $794KY $186
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.