How much rates vary
Facilitymedian $1,202 · 10th to 90th $537 to $7,586Professionalmedian $389 · 10th to 90th $85 to $741
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 $331.13 Median $9,549.93 Typical High $21,877.62 | Facility | None | $331.13 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $446.68 | Professional | None | $213.80 | $263.03 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $1,148.15 Typical High $7,079.46 | Facility | None | $169.82 | $1,148.15 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $2,344.23 | Professional | None | $323.59 | $616.60 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,548.82 Typical High $2,818.38 | Facility | None | $707.95 | $1,548.82 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $707.95 | Professional | None | $239.88 | $295.12 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $2,187.76 | Professional | None | $288.40 | $549.54 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $398.11 Typical High $724.44 | Professional | None | $77.62 | $398.11 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $537.03 | Facility | None | $288.40 | $478.63 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,698.24 | Facility | None | $724.44 | $1,071.52 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | None | $295.12 | $295.12 | $380.19 |
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 $295.12 Median $457.09 Typical High $676.08 | Professional | None | $295.12 | $457.09 | $676.08 |
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 $263.03 Median $380.19 Typical High $741.31 | Professional | None | $263.03 | $380.19 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $398.11 | Professional | None | $257.04 | $380.19 | $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 $125.89 Median $125.89 Typical High $165.96 | Professional | 52 · Reduced service | $125.89 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | 53 · Discontinued | $50.12 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | 54 · Surgery only | $186.21 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $173.78 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $173.78 | $173.78 | $229.09 |
Where Washington sits
The same service costs 4.7 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· 12th of 51
$407
AK $1,000KY $214
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.