How much rates vary
Facilitymedian $955 · 10th to 90th $363 to $12,023Professionalmedian $562 · 10th to 90th $50 to $1,175
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 $426.58 Median $6,165.95 Typical High $27,542.29 | Facility | None | $426.58 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $691.83 | Professional | None | $416.87 | $457.09 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $223.87 Median $8,709.64 Typical High $17,782.79 | Facility | None | $223.87 | $8,709.64 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $4,466.84 | Professional | None | $478.63 | $954.99 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,096.48 | Facility | None | $537.03 | $707.95 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $891.25 | Professional | None | $295.12 | $416.87 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $562.34 Typical High $1,023.29 | Professional | None | $295.12 | $562.34 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $562.34 Typical High $1,148.15 | Professional | None | $46.77 | $562.34 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $954.99 | Facility | None | $512.86 | $776.25 | $954.99 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $660.69 | Facility | None | $239.88 | $398.11 | $660.69 |
Premera BCBS Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $645.65 | Professional | None | $416.87 | $645.65 | $645.65 |
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 $478.63 Median $758.58 Typical High $954.99 | Professional | None | $478.63 | $758.58 | $954.99 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $12,882.50 | Facility | None | $2,089.30 | $3,548.13 | $12,882.50 |
United Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,000.00 | Professional | None | $354.81 | $537.03 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $602.56 Typical High $1,148.15 | Professional | None | $309.03 | $602.56 | $1,148.15 |
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 $213.80 Median $229.09 Typical High $346.74 | Professional | 52 · Reduced service | $213.80 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $138.04 | Professional | 53 · Discontinued | $85.11 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $346.74 Typical High $512.86 | Professional | 54 · Surgery only | $323.59 | $346.74 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $69.18 Typical High $102.33 | Professional | 55 · Aftercare only | $64.57 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $45.71 Typical High $69.18 | Professional | 56 · Pre-op care only | $42.66 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $323.59 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $302.00 | $323.59 | $478.63 |
Where Washington sits
The same service costs 4.3 times more in Alaska 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· 14th of 51
$562
AK $1,259KY $295
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.