How much rates vary
Facilitymedian $2,291 · 10th to 90th $891 to $13,183Professionalmedian $1,023 · 10th to 90th $724 to $4,677
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 $977.24 Median $11,220.18 Typical High $21,877.62 | Facility | None | $977.24 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $794.33 | Professional | None | $630.96 | $741.31 | $794.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $1,621.81 Typical High $13,489.63 | Facility | None | $380.19 | $1,621.81 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $758.58 Median $4,677.35 Typical High $6,025.60 | Professional | None | $758.58 | $4,677.35 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $4,265.80 | Facility | None | $891.25 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,584.89 | Professional | None | $676.08 | $741.31 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,621.81 Typical High $3,630.78 | Professional | None | $851.14 | $1,621.81 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $562.34 Typical High $794.33 | Professional | None | $79.43 | $562.34 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Facility | None | $676.08 | $676.08 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,202.26 | $1,737.80 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,762.47 Median $10,232.93 Typical High $19,498.45 | Facility | None | $7,762.47 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,548.82 | Professional | None | $758.58 | $1,096.48 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $13,803.84 | Facility | None | $1,513.56 | $2,570.40 | $13,803.84 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,398.83 | Professional | None | $831.76 | $1,348.96 | $2,398.83 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,479.11 | Professional | None | $977.24 | $1,023.29 | $1,479.11 |
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 $371.54 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 54 · Surgery only | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $549.54 |
Where Washington sits
The same service costs 7.4 times more in Oklahoma than in New York. 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
$1,318
OK $3,802NY $513
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.