How much rates vary
Facilitymedian $302 · 10th to 90th $54 to $1,950Professionalmedian $132 · 10th to 90th $85 to $234
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 $120.23 Median $6,165.95 Typical High $27,542.29 | Facility | None | $120.23 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $151.36 | Professional | None | $102.33 | $123.03 | $151.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $53.70 Median $1,071.52 Typical High $2,187.76 | Facility | None | $53.70 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $1,096.48 | Professional | None | $104.71 | $169.82 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $218.78 | Professional | None | $85.11 | $104.71 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $251.19 | Professional | None | $112.20 | $173.78 | $251.19 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $134.90 Typical High $229.09 | Professional | None | $79.43 | $134.90 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $245.47 | Facility | None | $141.25 | $177.83 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $42.66 Typical High $128.82 | Facility | None | $34.67 | $42.66 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | None | $109.65 | $131.83 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $776.25 | $1,174.90 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $208.93 | Professional | None | $104.71 | $131.83 | $208.93 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,819.70 | Facility | None | $134.90 | $346.74 | $1,819.70 |
United Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $245.47 | Professional | None | $102.33 | $128.82 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $100.00 Typical High $138.04 | Professional | None | $12.88 | $100.00 | $138.04 |
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 $60.26 Median $60.26 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $24.55 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $91.20 Typical High $112.20 | Professional | 54 · Surgery only | $89.13 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $22.39 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.30 Typical High $14.79 | Professional | 56 · Pre-op care only | $12.02 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $85.11 Typical High $104.71 | Professional | 78 · Unplanned return to OR | $83.18 | $85.11 | $104.71 |
Where Washington sits
The same service costs 4.2 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· 17th of 51
$132
AK $324FL $77.62
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.