How much rates vary
Facilitymedian $355 · 10th to 90th $126 to $2,754Professionalmedian $257 · 10th to 90th $62 to $457
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 $257.04 Median $3,548.13 Typical High $20,417.38 | Facility | None | $257.04 | $3,548.13 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $295.12 | Professional | None | $125.89 | $190.55 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $1,862.09 Typical High $3,890.45 | Facility | None | $89.13 | $1,862.09 | $3,890.45 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $186.21 Median $407.38 Typical High $1,659.59 | Professional | None | $186.21 | $407.38 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $354.81 | Facility | None | $66.07 | $208.93 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $489.78 | Professional | None | $141.25 | $234.42 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $457.09 | Professional | None | $165.96 | $281.84 | $457.09 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $251.19 Typical High $446.68 | Professional | None | $47.86 | $251.19 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $380.19 | Facility | None | $213.80 | $338.84 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $144.54 Typical High $251.19 | Facility | None | $66.07 | $144.54 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $257.04 | Professional | None | $173.78 | $173.78 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,348.96 | $2,041.74 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $446.68 | Professional | None | $169.82 | $281.84 | $446.68 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,754.23 | Facility | None | $371.54 | $691.83 | $2,754.23 |
United Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $501.19 | Professional | None | $154.88 | $263.03 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $281.84 | Professional | None | $162.18 | $251.19 | $281.84 |
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 $81.28 Median $89.13 Typical High $131.83 | Professional | 52 · Reduced service | $81.28 | $89.13 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $52.48 | Professional | 53 · Discontinued | $32.36 | $35.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $134.90 Typical High $194.98 | Professional | 54 · Surgery only | $120.23 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.92 Typical High $38.90 | Professional | 55 · Aftercare only | $24.55 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $17.78 Typical High $26.30 | Professional | 56 · Pre-op care only | $16.22 | $17.78 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $125.89 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $112.20 | $125.89 | $181.97 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $2,041.74 Median $3,090.30 Typical High $5,888.44 | Facility | 50 · Both sides | $2,041.74 | $3,090.30 | $5,888.44 |
Where Washington sits
The same service costs 4.1 times more in Alaska 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· 10th of 51
$257
AK $513KY $126
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.