How much rates vary
Facilitymedian $525 · 10th to 90th $98 to $8,913Professionalmedian $200 · 10th to 90th $93 to $372
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 $239.88 Median $5,128.61 Typical High $20,892.96 | Facility | None | $239.88 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $269.15 | Professional | None | $204.17 | $229.09 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $6,309.57 Typical High $12,882.50 | Facility | None | $97.72 | $6,309.57 | $12,882.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $2,290.87 | Professional | None | $199.53 | $446.68 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $630.96 | Facility | None | $125.89 | $245.47 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $354.81 | Professional | None | $123.03 | $186.21 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $194.98 Typical High $380.19 | Professional | None | $107.15 | $194.98 | $380.19 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $165.96 Typical High $316.23 | Professional | None | $83.18 | $165.96 | $316.23 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $295.12 Typical High $309.03 | Facility | None | $177.83 | $295.12 | $309.03 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $181.97 | Facility | None | $74.13 | $104.71 | $181.97 |
Premera BCBS Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | None | $204.17 | $213.80 | $213.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,570.88 | $6,760.83 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $363.08 | Professional | None | $199.53 | $208.93 | $363.08 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $9,332.54 | Facility | None | $1,202.26 | $1,949.84 | $9,332.54 |
United Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $467.74 | Professional | None | $181.97 | $218.78 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $177.83 Typical High $229.09 | Professional | None | $20.89 | $177.83 | $229.09 |
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 $112.20 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $45.71 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 54 · Surgery only | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $158.49 | $158.49 | $169.82 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,760.83 Median $10,232.93 Typical High $19,498.45 | Facility | 50 · Both sides | $6,760.83 | $10,232.93 | $19,498.45 |
Where Washington sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 26th of 51
$200
AK $603FL $132
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.