How much rates vary
Facilitymedian $1,995 · 10th to 90th $457 to $11,220Professionalmedian $302 · 10th to 90th $166 to $537
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 $295.12 Median $4,570.88 Typical High $20,892.96 | Facility | None | $295.12 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $446.68 | Professional | None | $295.12 | $295.12 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $151.36 Median $870.96 Typical High $12,302.69 | Facility | None | $151.36 | $870.96 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $2,290.87 | Professional | None | $354.81 | $602.56 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $3,890.45 | Facility | None | $467.74 | $2,041.74 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $645.65 | Professional | None | $323.59 | $457.09 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $562.34 Typical High $3,090.30 | Professional | None | $323.59 | $562.34 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $489.78 | Professional | None | $154.88 | $281.84 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $724.44 | Facility | None | $363.08 | $436.52 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,659.59 Typical High $2,754.23 | Facility | None | $812.83 | $1,659.59 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,165.95 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,165.95 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $537.03 | Professional | None | $354.81 | $354.81 | $537.03 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,302.69 | Facility | None | $1,513.56 | $2,570.40 | $12,302.69 |
United Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $660.69 | Professional | None | $263.03 | $316.23 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $398.11 | Professional | None | $199.53 | $269.15 | $398.11 |
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 $147.91 Median $147.91 Typical High $162.18 | Professional | 52 · Reduced service | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 53 · Discontinued | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | 54 · Surgery only | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $208.93 | $208.93 | $229.09 |
Where Washington sits
The same service costs 4.6 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· 37th of 51
$309
AK $891UT $195
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.