How much rates vary
Facilitymedian $776 · 10th to 90th $550 to $3,890Professionalmedian $363 · 10th to 90th $69 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 $478.63 Median $6,456.54 Typical High $20,892.96 | Facility | None | $478.63 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $588.84 | Professional | None | $446.68 | $478.63 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $288.40 Typical High $2,630.27 | Facility | None | $30.20 | $288.40 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $588.84 Median $3,019.95 Typical High $3,388.44 | Professional | None | $588.84 | $3,019.95 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $676.08 Typical High $1,778.28 | Facility | None | $630.96 | $676.08 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $1,230.27 | Professional | None | $467.74 | $524.81 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $1,071.52 | Professional | None | $512.86 | $870.96 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $331.13 Typical High $812.83 | Professional | None | $67.61 | $331.13 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $851.14 | Facility | None | $616.60 | $776.25 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $588.84 | Facility | None | $575.44 | $575.44 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,174.90 | Professional | None | $588.84 | $851.14 | $1,174.90 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,348.96 | Professional | None | $501.19 | $707.95 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $794.33 | Professional | None | $512.86 | $537.03 | $794.33 |
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 $223.87 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $223.87 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $338.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $316.23 | $331.13 | $331.13 |
Where Washington sits
The same service costs 6.0 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· 49th of 51
$363
AK $1,380UT $229
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.