How much rates vary
Facilitymedian $1,380 · 10th to 90th $603 to $11,749Professionalmedian $389 · 10th to 90th $46 to $794
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 $537.03 Median $6,165.95 Typical High $20,892.96 | Facility | None | $537.03 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $537.03 | Professional | None | $338.84 | $389.05 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $181.97 Median $1,148.15 Typical High $12,302.69 | Facility | None | $181.97 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $3,162.28 | Professional | None | $416.87 | $758.58 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,949.84 Typical High $3,548.13 | Facility | None | $630.96 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $758.58 | Professional | None | $338.84 | $436.52 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $2,290.87 | Professional | None | $302.00 | $588.84 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $331.13 Typical High $758.58 | Professional | None | $40.74 | $331.13 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $741.31 | Facility | None | $416.87 | $691.83 | $741.31 |
Premera BCBS Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $2,344.23 | Facility | None | $645.65 | $1,258.93 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $501.19 | Professional | None | $363.08 | $501.19 | $501.19 |
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 $416.87 Median $588.84 Typical High $741.31 | Professional | None | $416.87 | $588.84 | $741.31 |
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 $331.13 Median $457.09 Typical High $831.76 | Professional | None | $331.13 | $457.09 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $812.83 | Professional | None | $251.19 | $426.58 | $812.83 |
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 $181.97 Median $190.55 Typical High $269.15 | Professional | 52 · Reduced service | $181.97 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $107.15 | Professional | 53 · Discontinued | $72.44 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $281.84 Typical High $407.38 | Professional | 54 · Surgery only | $269.15 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $56.23 Typical High $81.28 | Professional | 55 · Aftercare only | $53.70 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $38.02 Typical High $53.70 | Professional | 56 · Pre-op care only | $36.31 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $263.03 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $251.19 | $263.03 | $380.19 |
Where Washington sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 26th of 51
$398
AK $1,072NJ $263
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.