How much rates vary
Facilitymedian $1,698 · 10th to 90th $676 to $12,303Professionalmedian $288 · 10th to 90th $145 to $525
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 $457.09 Median $11,220.18 Typical High $21,877.62 | Facility | None | $457.09 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $371.54 | Professional | None | $239.88 | $338.84 | $371.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $165.96 Median $1,548.82 Typical High $12,302.69 | Facility | None | $165.96 | $1,548.82 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $389.05 Median $1,819.70 Typical High $1,905.46 | Professional | None | $389.05 | $1,819.70 | $1,905.46 |
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 $281.84 Median $281.84 Typical High $588.84 | Professional | None | $281.84 | $281.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $524.81 Typical High $2,818.38 | Professional | None | $239.88 | $524.81 | $2,818.38 |
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 $275.42 Median $467.74 Typical High $489.78 | Facility | None | $275.42 | $467.74 | $489.78 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,344.23 | Facility | None | $912.01 | $1,318.26 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $562.34 | Professional | None | $389.05 | $389.05 | $562.34 |
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 $281.84 Median $338.84 Typical High $645.65 | Professional | None | $281.84 | $338.84 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $467.74 | Professional | None | $223.87 | $302.00 | $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 $134.90 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $134.90 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $53.70 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $204.17 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $40.74 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $26.92 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $190.55 | $234.42 | $234.42 |
Where Washington sits
The same service costs 6.0 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· 31st of 51
$295
AK $1,000UT $166
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.