How much rates vary
Facilitymedian $331 · 10th to 90th $129 to $1,047Professionalmedian $214 · 10th to 90th $43 to $457
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 $331.13 Median $5,128.61 Typical High $20,892.96 | Facility | None | $331.13 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $331.13 | Professional | None | $158.49 | $218.78 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $83.18 Median $645.65 Typical High $1,348.96 | Facility | None | $83.18 | $645.65 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $457.09 Typical High $1,995.26 | Professional | None | $169.82 | $457.09 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $630.96 | Facility | None | $173.78 | $338.84 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $407.38 | Professional | None | $154.88 | $269.15 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $512.86 | Professional | None | $144.54 | $257.04 | $512.86 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $194.98 Typical High $436.52 | Professional | None | $39.81 | $194.98 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $446.68 | Facility | None | $316.23 | $436.52 | $446.68 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $269.15 | Facility | None | $107.15 | $151.36 | $269.15 |
Premera BCBS Setting Professional Modifier None Typical Low $158.49 Median $316.23 Typical High $316.23 | Professional | None | $158.49 | $316.23 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,348.96 | Facility | None | $537.03 | $707.95 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $457.09 | Professional | None | $169.82 | $323.59 | $457.09 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $954.99 | Facility | None | $134.90 | $346.74 | $954.99 |
United Setting Professional Modifier None Typical Low $144.54 Median $263.03 Typical High $436.52 | Professional | None | $144.54 | $263.03 | $436.52 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $239.88 Typical High $524.81 | Professional | None | $114.82 | $239.88 | $524.81 |
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 $79.43 Median $104.71 Typical High $162.18 | Professional | 52 · Reduced service | $79.43 | $104.71 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $41.69 Typical High $66.07 | Professional | 53 · Discontinued | $31.62 | $41.69 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $158.49 Typical High $245.47 | Professional | 54 · Surgery only | $117.49 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $31.62 Typical High $48.98 | Professional | 55 · Aftercare only | $23.44 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $20.89 Typical High $33.11 | Professional | 56 · Pre-op care only | $15.85 | $20.89 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $147.91 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $109.65 | $147.91 | $229.09 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Texas. 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
$214
AK $468TX $135
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.