How much rates vary
Facilitymedian $251 · 10th to 90th $112 to $2,138Professionalmedian $234 · 10th to 90th $120 to $468
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 $263.03 Median $5,128.61 Typical High $20,892.96 | Facility | None | $263.03 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $263.03 | Professional | None | $154.88 | $169.82 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $1,479.11 Typical High $3,019.95 | Facility | None | $74.13 | $1,479.11 | $3,019.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $1,584.89 | Professional | None | $169.82 | $354.81 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $194.98 Typical High $331.13 | Facility | None | $66.07 | $194.98 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $331.13 | Professional | None | $131.83 | $208.93 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $398.11 | Professional | None | $128.82 | $223.87 | $398.11 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $239.88 Typical High $457.09 | Professional | None | $109.65 | $239.88 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $354.81 | Facility | None | $234.42 | $323.59 | $354.81 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $138.04 Typical High $239.88 | Facility | None | $93.33 | $138.04 | $239.88 |
Premera BCBS Setting Professional Modifier None Typical Low $147.91 Median $239.88 Typical High $239.88 | Professional | None | $147.91 | $239.88 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,621.81 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $354.81 | Professional | None | $169.82 | $281.84 | $354.81 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $2,137.96 | Facility | None | $134.90 | $346.74 | $2,137.96 |
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 $100.00 Median $204.17 Typical High $407.38 | Professional | None | $100.00 | $204.17 | $407.38 |
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 $75.86 Median $85.11 Typical High $131.83 | Professional | 52 · Reduced service | $75.86 | $85.11 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $52.48 | Professional | 53 · Discontinued | $30.90 | $33.88 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $125.89 Typical High $199.53 | Professional | 54 · Surgery only | $114.82 | $125.89 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.12 Typical High $39.81 | Professional | 55 · Aftercare only | $22.91 | $25.12 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $16.98 Typical High $26.30 | Professional | 56 · Pre-op care only | $15.49 | $16.98 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $117.49 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $107.15 | $117.49 | $186.21 |
Where Washington sits
The same service costs 3.5 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· 12th of 51
$234
AK $437NJ $126
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.