How much rates vary
Facilitymedian $1,096 · 10th to 90th $447 to $7,079Professionalmedian $309 · 10th to 90th $69 to $550
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 $309.03 Median $5,128.61 Typical High $20,892.96 | Facility | None | $309.03 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $380.19 | Professional | None | $173.78 | $245.47 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $870.96 Typical High $7,079.46 | Facility | None | $112.20 | $870.96 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $2,344.23 | Professional | None | $229.09 | $436.52 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,479.11 Typical High $2,691.53 | Facility | None | $467.74 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $575.44 | Professional | None | $204.17 | $288.40 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $2,187.76 | Professional | None | $269.15 | $467.74 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $309.03 Typical High $537.03 | Professional | None | $54.95 | $309.03 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $446.68 | Facility | None | $251.19 | $416.87 | $446.68 |
Premera BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,698.24 | Facility | None | $707.95 | $1,047.13 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | None | $234.42 | $234.42 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $10,000.00 | Facility | None | $4,073.80 | $5,370.32 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $549.54 | Professional | None | $229.09 | $363.08 | $549.54 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $8,128.31 | Facility | None | $588.84 | $977.24 | $8,128.31 |
United Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $602.56 | Professional | None | $218.78 | $331.13 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $323.59 | Professional | None | $204.17 | $309.03 | $323.59 |
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 $114.82 Median $131.83 Typical High $154.88 | Professional | 52 · Reduced service | $114.82 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $61.66 | Professional | 53 · Discontinued | $45.71 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $199.53 Typical High $229.09 | Professional | 54 · Surgery only | $169.82 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $39.81 Typical High $45.71 | Professional | 55 · Aftercare only | $34.67 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $26.30 Typical High $30.90 | Professional | 56 · Pre-op care only | $22.91 | $26.30 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $186.21 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $158.49 | $186.21 | $213.80 |
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· 18th of 51
$309
AK $912UT $200
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.