How much rates vary
Facilitymedian $1,738 · 10th to 90th $427 to $12,303Professionalmedian $257 · 10th to 90th $115 to $479
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 $295.12 Median $7,943.28 Typical High $21,877.62 | Facility | None | $295.12 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $316.23 | Professional | None | $208.93 | $295.12 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $354.81 | Professional | None | $181.97 | $199.53 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $1,318.26 Typical High $12,302.69 | Facility | None | $177.83 | $1,318.26 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $338.84 Median $1,584.89 Typical High $1,698.24 | Professional | None | $338.84 | $1,584.89 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,995.26 Typical High $3,630.78 | Facility | None | $891.25 | $1,995.26 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $524.81 | Professional | None | $245.47 | $245.47 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $457.09 Typical High $2,818.38 | Professional | None | $204.17 | $457.09 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $245.47 Typical High $457.09 | Professional | None | $109.65 | $245.47 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $426.58 | Facility | None | $239.88 | $398.11 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,691.53 | Facility | None | $912.01 | $1,513.56 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $338.84 Typical High $489.78 | Professional | None | $338.84 | $338.84 | $489.78 |
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 $245.47 Median $288.40 Typical High $562.34 | Professional | None | $245.47 | $288.40 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $416.87 | Professional | None | $199.53 | $269.15 | $416.87 |
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 $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $117.49 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | 54 · Surgery only | $173.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $23.44 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $162.18 | $204.17 | $204.17 |
Where Washington sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 29th of 51
$263
AK $871UT $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.