How much rates vary
Facilitymedian $631 · 10th to 90th $200 to $11,749Professionalmedian $257 · 10th to 90th $46 to $537
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 $234.42 Median $4,677.35 Typical High $20,417.38 | Facility | None | $234.42 | $4,677.35 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $389.05 | Professional | None | $204.17 | $257.04 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $1,023.29 Typical High $12,302.69 | Facility | None | $112.20 | $1,023.29 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $2,238.72 | Professional | None | $257.04 | $524.81 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $1,023.29 | Facility | None | $245.47 | $478.63 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $489.78 | Professional | None | $213.80 | $331.13 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $616.60 | Professional | None | $194.98 | $338.84 | $616.60 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $229.09 Typical High $512.86 | Professional | None | $40.74 | $229.09 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $524.81 | Facility | None | $309.03 | $501.19 | $524.81 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $354.81 | Facility | None | $165.96 | $208.93 | $354.81 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $346.74 | Professional | None | $218.78 | $346.74 | $346.74 |
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 $257.04 Median $407.38 Typical High $501.19 | Professional | None | $257.04 | $407.38 | $501.19 |
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 $208.93 Median $331.13 Typical High $537.03 | Professional | None | $208.93 | $331.13 | $537.03 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $575.44 | Professional | None | $151.36 | $302.00 | $575.44 |
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 $117.49 Median $128.82 Typical High $194.98 | Professional | 52 · Reduced service | $117.49 | $128.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $77.62 | Professional | 53 · Discontinued | $46.77 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $190.55 Typical High $288.40 | Professional | 54 · Surgery only | $173.78 | $190.55 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.02 Typical High $57.54 | Professional | 55 · Aftercare only | $34.67 | $38.02 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.70 Typical High $38.90 | Professional | 56 · Pre-op care only | $23.44 | $25.70 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $177.83 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $162.18 | $177.83 | $269.15 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 32nd of 51
$257
AK $646TX $178
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.