How much rates vary
Facilitymedian $479 · 10th to 90th $214 to $3,548Professionalmedian $324 · 10th to 90th $46 to $692
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 $275.42 Median $524.81 Typical High $17,378.01 | Facility | None | $275.42 | $524.81 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $446.68 | Professional | None | $213.80 | $295.12 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $645.65 | Professional | None | $263.03 | $398.11 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $2,454.71 Typical High $5,011.87 | Facility | None | $147.91 | $2,454.71 | $5,011.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $309.03 Median $588.84 Typical High $2,818.38 | Professional | None | $309.03 | $588.84 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $676.08 | Facility | None | $323.59 | $467.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $549.54 | Professional | None | $229.09 | $323.59 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $645.65 | Professional | None | $213.80 | $380.19 | $645.65 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $302.00 Typical High $676.08 | Professional | None | $40.74 | $302.00 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $512.86 Typical High $575.44 | Facility | None | $363.08 | $512.86 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $389.05 | Facility | None | $151.36 | $229.09 | $389.05 |
Premera BCBS Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $389.05 | Professional | None | $263.03 | $389.05 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,691.53 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $575.44 | Professional | None | $309.03 | $457.09 | $575.44 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $3,630.78 | Facility | None | $371.54 | $691.83 | $3,630.78 |
United Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $630.96 | Professional | None | $234.42 | $338.84 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $724.44 | Professional | None | $199.53 | $380.19 | $724.44 |
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 $138.04 Median $147.91 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $218.78 Typical High $316.23 | Professional | 54 · Surgery only | $208.93 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | 55 · Aftercare only | $41.69 | $43.65 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $29.51 Typical High $42.66 | Professional | 56 · Pre-op care only | $27.54 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $204.17 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $194.98 | $204.17 | $295.12 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$324
AK $776KY $204
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.