How much rates vary
Facilitymedian $631 · 10th to 90th $145 to $11,749Professionalmedian $219 · 10th to 90th $120 to $417
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 $275.42 Median $6,165.95 Typical High $20,892.96 | Facility | None | $275.42 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $275.42 | Professional | None | $131.83 | $169.82 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $1,000.00 Typical High $12,302.69 | Facility | None | $75.86 | $1,000.00 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $173.78 Median $380.19 Typical High $1,621.81 | Professional | None | $173.78 | $380.19 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $1,023.29 | Facility | None | $181.97 | $354.81 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $346.74 | Professional | None | $134.90 | $204.17 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $416.87 | Professional | None | $128.82 | $229.09 | $416.87 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $398.11 | Professional | None | $109.65 | $218.78 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $380.19 | Facility | None | $199.53 | $323.59 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $257.04 | Facility | None | $109.65 | $154.88 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $257.04 | Professional | None | $151.36 | $257.04 | $257.04 |
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 $173.78 Median $288.40 Typical High $380.19 | Professional | None | $173.78 | $288.40 | $380.19 |
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 $134.90 Median $213.80 Typical High $363.08 | Professional | None | $134.90 | $213.80 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $416.87 | Professional | None | $102.33 | $213.80 | $416.87 |
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 $85.11 Typical High $138.04 | Professional | 52 · Reduced service | $77.62 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $54.95 | Professional | 53 · Discontinued | $30.90 | $33.88 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $125.89 Typical High $204.17 | Professional | 54 · Surgery only | $114.82 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.12 Typical High $41.69 | Professional | 55 · Aftercare only | $22.91 | $25.12 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $16.98 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.49 | $16.98 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $117.49 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $107.15 | $117.49 | $190.55 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 14th of 51
$224
AK $447FL $132
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.