How much rates vary
Facilitymedian $832 · 10th to 90th $355 to $5,754Professionalmedian $209 · 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 $154.88 Median $2,137.96 Typical High $17,378.01 | Facility | None | $154.88 | $2,137.96 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $331.13 | Professional | None | $128.82 | $204.17 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $436.52 Typical High $436.52 | Professional | None | $169.82 | $436.52 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $93.33 Median $758.58 Typical High $5,888.44 | Facility | None | $93.33 | $758.58 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $173.78 Median $436.52 Typical High $1,819.70 | Professional | None | $173.78 | $436.52 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,659.59 | Facility | None | $467.74 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $371.54 | Professional | None | $128.82 | $239.88 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $281.84 Typical High $1,023.29 | Professional | None | $131.83 | $281.84 | $1,023.29 |
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 $239.88 Median $380.19 Typical High $436.52 | Facility | None | $239.88 | $380.19 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $645.65 Typical High $1,202.26 | Facility | None | $302.00 | $645.65 | $1,202.26 |
Premera BCBS Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $295.12 | Professional | None | $151.36 | $295.12 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,951.21 | $4,466.84 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $436.52 | Professional | None | $173.78 | $309.03 | $436.52 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $407.38 | Professional | None | $134.90 | $245.47 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $478.63 | Professional | None | $104.71 | $223.87 | $478.63 |
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 $77.62 Median $97.72 Typical High $165.96 | Professional | 52 · Reduced service | $77.62 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.90 Typical High $66.07 | Professional | 53 · Discontinued | $30.90 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $144.54 Typical High $245.47 | Professional | 54 · Surgery only | $117.49 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $29.51 Typical High $48.98 | Professional | 55 · Aftercare only | $23.44 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $19.50 Typical High $33.11 | Professional | 56 · Pre-op care only | $15.49 | $19.50 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $134.90 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $109.65 | $134.90 | $229.09 |
Where Washington sits
The same service costs 3.3 times more in Alaska than in Washington, DC. 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 $447DC $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.