How much rates vary
Facilitymedian $479 · 10th to 90th $219 to $2,239Professionalmedian $324 · 10th to 90th $48 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 $467.74 Median $5,128.61 Typical High $20,892.96 | Facility | None | $467.74 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $501.19 | Professional | None | $269.15 | $354.81 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $575.44 | Professional | None | $281.84 | $281.84 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $151.36 Median $1,548.82 Typical High $3,235.94 | Facility | None | $151.36 | $1,548.82 | $3,235.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $2,818.38 | Professional | None | $316.23 | $501.19 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $467.74 Typical High $630.96 | Facility | None | $263.03 | $467.74 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $645.65 | Professional | None | $234.42 | $354.81 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $707.95 | Professional | None | $223.87 | $371.54 | $707.95 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $295.12 Typical High $575.44 | Professional | None | $42.66 | $295.12 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $630.96 | Facility | None | $338.84 | $562.34 | $630.96 |
Premera BCBS Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $389.05 | Facility | None | $181.97 | $229.09 | $389.05 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $407.38 | Professional | None | $323.59 | $407.38 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,202.26 | $1,698.24 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $630.96 | Professional | None | $316.23 | $407.38 | $630.96 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,238.72 | Facility | None | $371.54 | $691.83 | $2,238.72 |
United Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $758.58 | Professional | None | $309.03 | $416.87 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $281.84 Typical High $436.52 | Professional | None | $38.90 | $281.84 | $436.52 |
7 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 $177.83 Median $181.97 Typical High $234.42 | Professional | 52 · Reduced service | $177.83 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $72.44 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $275.42 Typical High $346.74 | Professional | 54 · Surgery only | $269.15 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $54.95 Typical High $70.79 | Professional | 55 · Aftercare only | $53.70 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $36.31 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $257.04 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $251.19 | $257.04 | $323.59 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,778.28 Median $2,570.40 Typical High $4,786.30 | Facility | 50 · Both sides | $1,778.28 | $2,570.40 | $4,786.30 |
Where Washington sits
The same service costs 4.2 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· 39th of 51
$324
AK $955UT $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.