How much rates vary
Facilitymedian $537 · 10th to 90th $224 to $3,890Professionalmedian $269 · 10th to 90th $43 to $562
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 $457.09 Median $6,165.95 Typical High $20,892.96 | Facility | None | $457.09 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $478.63 | Professional | None | $169.82 | $251.19 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $389.05 | Professional | None | $245.47 | $389.05 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $2,691.53 Typical High $5,623.41 | Facility | None | $100.00 | $2,691.53 | $5,623.41 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $208.93 Median $758.58 Typical High $2,398.83 | Professional | None | $208.93 | $758.58 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $691.83 | Facility | None | $275.42 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $489.78 | Professional | None | $154.88 | $269.15 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $645.65 | Professional | None | $213.80 | $323.59 | $645.65 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $251.19 Typical High $524.81 | Professional | None | $38.02 | $251.19 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $562.34 | Facility | None | $380.19 | $524.81 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $177.83 Median $234.42 Typical High $389.05 | Facility | None | $177.83 | $234.42 | $389.05 |
Premera BCBS Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $380.19 | Professional | None | $213.80 | $380.19 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,949.84 | $2,951.21 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $588.84 | Professional | None | $208.93 | $389.05 | $588.84 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $3,981.07 | Facility | None | $588.84 | $977.24 | $3,981.07 |
United Setting Professional Modifier None Typical Low $199.53 Median $354.81 Typical High $630.96 | Professional | None | $199.53 | $354.81 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $36.31 Median $186.21 Typical High $407.38 | Professional | None | $36.31 | $186.21 | $407.38 |
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 $117.49 Median $123.03 Typical High $229.09 | Professional | 52 · Reduced service | $117.49 | $123.03 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $91.20 | Professional | 53 · Discontinued | $46.77 | $48.98 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $186.21 Typical High $346.74 | Professional | 54 · Surgery only | $177.83 | $186.21 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $37.15 Typical High $69.18 | Professional | 55 · Aftercare only | $35.48 | $37.15 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $24.55 Typical High $45.71 | Professional | 56 · Pre-op care only | $23.44 | $24.55 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $173.78 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $165.96 | $173.78 | $323.59 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $4,466.84 Typical High $8,317.64 | Facility | 50 · Both sides | $2,951.21 | $4,466.84 | $8,317.64 |
Where Washington sits
The same service costs 3.8 times more in Wyoming 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· 32nd of 51
$275
WY $741KY $195
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.