How much rates vary
Facilitymedian $282 · 10th to 90th $102 to $1,023Professionalmedian $490 · 10th to 90th $54 to $891
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 $575.44 Median $6,165.95 Typical High $20,892.96 | Facility | None | $575.44 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $630.96 | Professional | None | $457.09 | $575.44 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $275.42 Median $691.83 Typical High $1,412.54 | Facility | None | $275.42 | $691.83 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $3,019.95 Typical High $3,090.30 | Professional | None | $660.69 | $3,019.95 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $199.53 Typical High $338.84 | Facility | None | $66.07 | $199.53 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $1,000.00 | Professional | None | $436.52 | $489.78 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $512.86 Typical High $1,023.29 | Professional | None | $181.97 | $512.86 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $436.52 Typical High $851.14 | Professional | None | $51.29 | $436.52 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $794.33 Typical High $831.76 | Facility | None | $467.74 | $794.33 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $48.98 Median $128.82 Typical High $269.15 | Facility | None | $48.98 | $128.82 | $269.15 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,348.96 | Facility | None | $478.63 | $707.95 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $933.25 | Professional | None | $660.69 | $660.69 | $933.25 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $954.99 | Facility | None | $134.90 | $346.74 | $954.99 |
United Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $1,071.52 | Professional | None | $457.09 | $575.44 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $758.58 | Professional | None | $371.54 | $501.19 | $758.58 |
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 $218.78 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $218.78 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $87.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $323.59 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $64.57 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $43.65 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $302.00 | $398.11 | $398.11 |
Where Washington sits
The same service costs 4.2 times more in Wyoming 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
$479
WY $1,288UT $309
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.