How much rates vary
Facilitymedian $1,820 · 10th to 90th $741 to $12,303Professionalmedian $372 · 10th to 90th $46 to $832
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 $537.03 Median $12,302.69 Typical High $24,547.09 | Facility | None | $537.03 | $12,302.69 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $537.03 | Professional | None | $295.12 | $346.74 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $2,238.72 Typical High $12,302.69 | Facility | None | $147.91 | $2,238.72 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $338.84 Median $758.58 Typical High $3,162.28 | Professional | None | $338.84 | $758.58 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $3,801.89 | Facility | None | $1,380.38 | $2,041.74 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $676.08 | Professional | None | $245.47 | $371.54 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $489.78 Typical High $2,290.87 | Professional | None | $239.88 | $489.78 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $354.81 Typical High $812.83 | Professional | None | $40.74 | $354.81 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $660.69 Typical High $741.31 | Facility | None | $363.08 | $660.69 | $741.31 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,691.53 | Facility | None | $933.25 | $1,513.56 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $524.81 | Professional | None | $302.00 | $524.81 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $9,549.93 Typical High $17,782.79 | Facility | None | $7,244.36 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $758.58 | Professional | None | $338.84 | $575.44 | $758.58 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Professional | None | $257.04 | $416.87 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $812.83 | Professional | None | $199.53 | $416.87 | $812.83 |
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 $147.91 Median $162.18 Typical High $269.15 | Professional | 52 · Reduced service | $147.91 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $64.57 Typical High $109.65 | Professional | 53 · Discontinued | $58.88 | $64.57 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $239.88 Typical High $407.38 | Professional | 54 · Surgery only | $223.87 | $239.88 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $48.98 Typical High $81.28 | Professional | 55 · Aftercare only | $44.67 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $32.36 Typical High $53.70 | Professional | 56 · Pre-op care only | $29.51 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $223.87 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $208.93 | $223.87 | $380.19 |
Where Washington sits
The same service costs 3.7 times more in Wyoming 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· 21st of 51
$372
WY $891TX $240
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.