How much rates vary
Facilitymedian $550 · 10th to 90th $240 to $3,467Professionalmedian $380 · 10th to 90th $50 to $813
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 $269.15 Median $478.63 Typical High $21,877.62 | Facility | None | $269.15 | $478.63 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $478.63 | Professional | None | $190.55 | $269.15 | $478.63 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $2,454.71 Typical High $5,011.87 | Facility | None | $144.54 | $2,454.71 | $5,011.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $295.12 Median $630.96 Typical High $3,090.30 | Professional | None | $295.12 | $630.96 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $1,000.00 | Facility | None | $398.11 | $707.95 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $562.34 | Professional | None | $147.91 | $223.87 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $346.74 Typical High $676.08 | Professional | None | $151.36 | $346.74 | $676.08 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $380.19 Typical High $794.33 | Professional | None | $46.77 | $380.19 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $616.60 | Facility | None | $234.42 | $512.86 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $138.04 Median $275.42 Typical High $478.63 | Facility | None | $138.04 | $275.42 | $478.63 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $426.58 | Professional | None | $251.19 | $426.58 | $426.58 |
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 $295.12 Median $467.74 Typical High $630.96 | Professional | None | $295.12 | $467.74 | $630.96 |
United Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $3,630.78 | Facility | None | $371.54 | $707.95 | $3,630.78 |
United Setting Professional Modifier None Typical Low $208.93 Median $346.74 Typical High $616.60 | Professional | None | $208.93 | $346.74 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $426.58 Typical High $812.83 | Professional | None | $199.53 | $426.58 | $812.83 |
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 $147.91 Typical High $239.88 | Professional | 52 · Reduced service | $134.90 | $147.91 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $58.88 Typical High $95.50 | Professional | 53 · Discontinued | $53.70 | $58.88 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $218.78 Typical High $363.08 | Professional | 54 · Surgery only | $204.17 | $218.78 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $43.65 Typical High $72.44 | Professional | 55 · Aftercare only | $40.74 | $43.65 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $29.51 Typical High $47.86 | Professional | 56 · Pre-op care only | $26.92 | $29.51 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $204.17 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $190.55 | $204.17 | $338.84 |
Where Washington sits
The same service costs 4.5 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· 11th of 51
$380
AK $741KY $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.