How much rates vary
Facilitymedian $3,548 · 10th to 90th $708 to $19,953Professionalmedian $468 · 10th to 90th $65 to $891
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 $436.52 Median $11,220.18 Typical High $21,877.62 | Facility | None | $436.52 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $457.09 | Professional | None | $323.59 | $436.52 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $302.00 Median $1,318.26 Typical High $21,877.62 | Facility | None | $302.00 | $1,318.26 | $21,877.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $512.86 Median $954.99 Typical High $2,951.21 | Professional | None | $512.86 | $954.99 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $7,244.36 | Facility | None | $707.95 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $1,071.52 | Professional | None | $426.58 | $489.78 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $6,309.57 | Professional | None | $512.86 | $933.25 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $457.09 Typical High $831.76 | Professional | None | $63.10 | $457.09 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $758.58 | Facility | None | $524.81 | $691.83 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,818.38 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,220.18 Median $16,982.44 Typical High $31,622.78 | Facility | None | $11,220.18 | $16,982.44 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,023.29 | Professional | None | $512.86 | $741.31 | $1,023.29 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $23,442.29 | Facility | None | $2,691.53 | $4,677.35 | $23,442.29 |
United Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $1,148.15 | Professional | None | $446.68 | $630.96 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $691.83 | Professional | None | $446.68 | $467.74 | $691.83 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $323.59 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $309.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $302.00 | $309.03 | $309.03 |
Where Washington sits
The same service costs 9.3 times more in Kansas 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· 36th of 51
$501
KS $2,818UT $302
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.