How much rates vary
Facilitymedian $741 · 10th to 90th $513 to $3,981Professionalmedian $257 · 10th to 90th $52 to $575
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 $575.44 Median $6,456.54 Typical High $20,892.96 | Facility | None | $575.44 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $602.56 | Professional | None | $575.44 | $575.44 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $239.88 Typical High $2,344.23 | Facility | None | $30.20 | $239.88 | $2,344.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $512.86 Median $1,122.02 Typical High $2,754.23 | Professional | None | $512.86 | $1,122.02 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $831.76 | Professional | None | $302.00 | $446.68 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $954.99 | Professional | None | $457.09 | $724.44 | $954.99 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $218.78 Typical High $537.03 | Professional | None | $50.12 | $218.78 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $741.31 | Facility | None | $512.86 | $707.95 | $741.31 |
Premera BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $512.86 | Facility | None | $501.19 | $501.19 | $512.86 |
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 Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $912.01 | Professional | None | $512.86 | $512.86 | $912.01 |
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 $446.68 Median $524.81 Typical High $1,122.02 | Professional | None | $446.68 | $524.81 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $457.09 | Professional | None | $50.12 | $50.12 | $457.09 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Where Washington sits
The same service costs 6.9 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
$263
AK $1,514UT $219
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.