How much rates vary
Facilitymedian $851 · 10th to 90th $417 to $5,888Professionalmedian $275 · 10th to 90th $151 to $501
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 $316.23 Median $5,128.61 Typical High $20,892.96 | Facility | None | $316.23 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $316.23 | Professional | None | $199.53 | $234.42 | $316.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $870.96 Typical High $5,888.44 | Facility | None | $107.15 | $870.96 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $457.09 Typical High $1,862.09 | Professional | None | $245.47 | $457.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,659.59 | Facility | None | $467.74 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $446.68 | Professional | None | $181.97 | $245.47 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $1,023.29 | Professional | None | $169.82 | $338.84 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $478.63 | Professional | None | $138.04 | $263.03 | $478.63 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $436.52 | Facility | None | $245.47 | $398.11 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $1,230.27 | Facility | None | $380.19 | $691.83 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $295.12 | Professional | None | $218.78 | $295.12 | $295.12 |
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 $245.47 Median $346.74 Typical High $436.52 | Professional | None | $245.47 | $346.74 | $436.52 |
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 $190.55 Median $269.15 Typical High $489.78 | Professional | None | $190.55 | $269.15 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $467.74 | Professional | None | $144.54 | $245.47 | $467.74 |
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 $104.71 Median $109.65 Typical High $158.49 | Professional | 52 · Reduced service | $104.71 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $42.66 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $165.96 Typical High $234.42 | Professional | 54 · Surgery only | $158.49 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.11 Typical High $46.77 | Professional | 55 · Aftercare only | $31.62 | $33.11 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.88 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.89 | $21.88 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $154.88 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $147.91 | $154.88 | $218.78 |
Where Washington sits
The same service costs 4.2 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· 15th of 51
$275
AK $646NJ $155
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.