How much rates vary
Facilitymedian $490 · 10th to 90th $107 to $5,888Professionalmedian $178 · 10th to 90th $95 to $331
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 $213.80 Median $5,128.61 Typical High $20,892.96 | Facility | None | $213.80 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $213.80 | Professional | None | $131.83 | $162.18 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $4,073.80 Typical High $8,511.38 | Facility | None | $75.86 | $4,073.80 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $173.78 Median $316.23 Typical High $1,288.25 | Professional | None | $173.78 | $316.23 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $257.04 Typical High $630.96 | Facility | None | $134.90 | $257.04 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $323.59 | Professional | None | $131.83 | $177.83 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $354.81 | Professional | None | $114.82 | $199.53 | $354.81 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $309.03 | Professional | None | $83.18 | $169.82 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $295.12 | Facility | None | $199.53 | $281.84 | $295.12 |
Premera BCBS Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $199.53 | Facility | None | $89.13 | $114.82 | $199.53 |
Premera BCBS Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $199.53 | Professional | None | $151.36 | $199.53 | $199.53 |
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 $234.42 Typical High $302.00 | Professional | None | $173.78 | $234.42 | $302.00 |
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 $131.83 Median $186.21 Typical High $346.74 | Professional | None | $131.83 | $186.21 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $331.13 | Professional | None | $102.33 | $173.78 | $331.13 |
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 $74.13 Median $75.86 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $42.66 | Professional | 53 · Discontinued | $29.51 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $114.82 Typical High $162.18 | Professional | 54 · Surgery only | $109.65 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.91 Typical High $32.36 | Professional | 55 · Aftercare only | $21.88 | $22.91 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.14 Typical High $21.38 | Professional | 56 · Pre-op care only | $14.79 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $107.15 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $102.33 | $107.15 | $151.36 |
Where Washington sits
The same service costs 4.0 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· 19th of 51
$178
AK $437NJ $110
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.