How much rates vary
Facilitymedian $468 · 10th to 90th $155 to $2,089Professionalmedian $263 · 10th to 90th $46 to $550
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 $380.19 Median $5,128.61 Typical High $20,892.96 | Facility | None | $380.19 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $380.19 | Professional | None | $229.09 | $263.03 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $120.23 Median $794.33 Typical High $2,089.30 | Facility | None | $120.23 | $794.33 | $2,089.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $281.84 Median $537.03 Typical High $2,398.83 | Professional | None | $281.84 | $537.03 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $478.63 Typical High $812.83 | Facility | None | $389.05 | $478.63 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $512.86 | Professional | None | $208.93 | $295.12 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $371.54 Typical High $630.96 | Professional | None | $199.53 | $371.54 | $630.96 |
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 $316.23 Median $467.74 Typical High $524.81 | Facility | None | $316.23 | $467.74 | $524.81 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $489.78 | Facility | None | $151.36 | $281.84 | $489.78 |
Premera BCBS Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $363.08 | Professional | None | $245.47 | $363.08 | $363.08 |
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 $281.84 Median $416.87 Typical High $524.81 | Professional | None | $281.84 | $416.87 | $524.81 |
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 $218.78 Median $316.23 Typical High $575.44 | Professional | None | $218.78 | $316.23 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $302.00 Typical High $575.44 | Professional | None | $162.18 | $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 $123.03 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $199.53 Typical High $281.84 | Professional | 54 · Surgery only | $186.21 | $199.53 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $39.81 Typical High $57.54 | Professional | 55 · Aftercare only | $37.15 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $24.55 | $26.92 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $186.21 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $173.78 | $186.21 | $263.03 |
Where Washington sits
The same service costs 4.2 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· 30th of 51
$269
AK $741TX $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.