How much rates vary
Facilitymedian $1,380 · 10th to 90th $468 to $10,715Professionalmedian $234 · 10th to 90th $45 to $437
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 $257.04 Median $6,456.54 Typical High $20,892.96 | Facility | None | $257.04 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $251.19 | Professional | None | $158.49 | $213.80 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $120.23 Median $7,585.78 Typical High $15,848.93 | Facility | None | $120.23 | $7,585.78 | $15,848.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $1,318.26 Typical High $1,380.38 | Professional | None | $251.19 | $1,318.26 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $3,090.30 | Facility | None | $707.95 | $1,737.80 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $524.81 | Professional | None | $194.98 | $223.87 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $457.09 Typical High $2,630.27 | Professional | None | $234.42 | $457.09 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $213.80 Typical High $407.38 | Professional | None | $42.66 | $213.80 | $407.38 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $363.08 | Facility | None | $194.98 | $338.84 | $363.08 |
Premera BCBS Setting Facility Modifier None Typical Low $478.63 Median $1,148.15 Typical High $2,089.30 | Facility | None | $478.63 | $1,148.15 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $501.19 | Professional | None | $251.19 | $363.08 | $501.19 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $11,220.18 | Facility | None | $588.84 | $977.24 | $11,220.18 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $562.34 | Professional | None | $213.80 | $302.00 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $331.13 | Professional | None | $213.80 | $223.87 | $331.13 |
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 $104.71 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.89 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $147.91 | $151.36 | $151.36 |
Where Washington sits
The same service costs 8.7 times more in Oklahoma 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· 35th of 51
$240
OK $1,349UT $155
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.