How much rates vary
Facilitymedian $676 · 10th to 90th $372 to $3,467Professionalmedian $339 · 10th to 90th $170 to $661
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 $6,165.95 Typical High $20,892.96 | Facility | None | $331.13 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $331.13 | Professional | None | $239.88 | $331.13 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $1,148.15 Typical High $3,548.13 | Facility | None | $138.04 | $1,148.15 | $3,548.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $2,398.83 | Professional | None | $263.03 | $478.63 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $758.58 Typical High $1,318.26 | Facility | None | $616.60 | $758.58 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $489.78 | Professional | None | $229.09 | $269.15 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $457.09 Typical High $870.96 | Professional | None | $213.80 | $457.09 | $870.96 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $346.74 Typical High $645.65 | Professional | None | $112.20 | $346.74 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $316.23 Median $446.68 Typical High $512.86 | Facility | None | $316.23 | $446.68 | $512.86 |
Premera BCBS Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $851.14 | Facility | None | $323.59 | $501.19 | $851.14 |
Premera BCBS Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $354.81 | Professional | None | $263.03 | $263.03 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,691.53 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $537.03 | Professional | None | $263.03 | $354.81 | $537.03 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $3,467.37 | Facility | None | $371.54 | $691.83 | $3,467.37 |
United Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $602.56 | Professional | None | $229.09 | $316.23 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $398.11 | Professional | None | $186.21 | $281.84 | $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 $120.23 Median $128.82 Typical High $165.96 | Professional | 52 · Reduced service | $120.23 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $66.07 | Professional | 53 · Discontinued | $47.86 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $194.98 Typical High $245.47 | Professional | 54 · Surgery only | $177.83 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.90 Typical High $48.98 | Professional | 55 · Aftercare only | $36.31 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $33.11 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $181.97 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $165.96 | $181.97 | $229.09 |
Where Washington sits
The same service costs 4.3 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
$347
AK $912KY $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.