How much rates vary
Facilitymedian $1,862 · 10th to 90th $468 to $11,220Professionalmedian $339 · 10th to 90th $68 to $603
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 $4,677.35 Typical High $20,892.96 | Facility | None | $295.12 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $323.59 | Professional | None | $173.78 | $218.78 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $870.96 Typical High $12,022.64 | Facility | None | $125.89 | $870.96 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $478.63 Typical High $3,162.28 | Professional | None | $257.04 | $478.63 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $4,073.80 | Facility | None | $467.74 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $630.96 | Professional | None | $204.17 | $251.19 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $478.63 Typical High $3,311.31 | Professional | None | $245.47 | $478.63 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $338.84 Typical High $588.84 | Professional | None | $61.66 | $338.84 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $478.63 | Facility | None | $275.42 | $407.38 | $478.63 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $2,818.38 | Facility | None | $741.31 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $338.84 | Professional | None | $257.04 | $257.04 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $9,120.11 Typical High $17,378.01 | Facility | None | $6,025.60 | $9,120.11 | $17,378.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $602.56 | Professional | None | $257.04 | $398.11 | $602.56 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,589.25 | Facility | None | $1,202.26 | $1,949.84 | $12,589.25 |
United Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $660.69 | Professional | None | $229.09 | $338.84 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $346.74 | Professional | None | $223.87 | $331.13 | $346.74 |
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 $109.65 Median $109.65 Typical High $147.91 | Professional | 52 · Reduced service | $109.65 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | 53 · Discontinued | $43.65 | $43.65 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | 54 · Surgery only | $165.96 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $29.51 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $154.88 | $154.88 | $204.17 |
Where Washington sits
The same service costs 4.4 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· 12th of 51
$347
AK $871UT $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.