How much rates vary
Facilitymedian $1,738 · 10th to 90th $631 to $10,233Professionalmedian $501 · 10th to 90th $257 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 $512.86 Median $6,456.54 Typical High $20,892.96 | Facility | None | $512.86 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $562.34 | Professional | None | $407.38 | $512.86 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $1,148.15 Typical High $10,715.19 | Facility | None | $338.84 | $1,148.15 | $10,715.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $602.56 Median $954.99 Typical High $4,168.69 | Professional | None | $602.56 | $954.99 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,862.09 Typical High $3,388.44 | Facility | None | $630.96 | $1,862.09 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $933.25 | Professional | None | $398.11 | $436.52 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $794.33 Typical High $2,691.53 | Professional | None | $354.81 | $794.33 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $467.74 Typical High $851.14 | Professional | None | $245.47 | $467.74 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $758.58 | Facility | None | $512.86 | $676.08 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,398.83 | Facility | None | $870.96 | $1,412.54 | $2,398.83 |
Premera BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,128.31 Typical High $15,488.17 | Facility | None | $5,495.41 | $8,128.31 | $15,488.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $870.96 | Professional | None | $602.56 | $602.56 | $870.96 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $10,715.19 | Facility | None | $1,202.26 | $1,949.84 | $10,715.19 |
United Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $977.24 | Professional | None | $416.87 | $524.81 | $977.24 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $776.25 | Professional | None | $371.54 | $501.19 | $776.25 |
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 $199.53 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $79.43 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $302.00 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $60.26 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $39.81 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $281.84 | $363.08 | $363.08 |
Where Washington sits
The same service costs 5.1 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· 22nd of 51
$501
AK $1,549UT $302
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.