How much rates vary
Facilitymedian $631 · 10th to 90th $178 to $5,888Professionalmedian $295 · 10th to 90th $71 to $550
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 $295.12 Median $6,165.95 Typical High $20,892.96 | Facility | None | $295.12 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $316.23 | Professional | None | $173.78 | $208.93 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $4,073.80 Typical High $8,709.64 | Facility | None | $91.20 | $4,073.80 | $8,709.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $194.98 Median $446.68 Typical High $1,819.70 | Professional | None | $194.98 | $446.68 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $1,000.00 | Facility | None | $223.87 | $426.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $549.54 | Professional | None | $147.91 | $251.19 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $524.81 | Professional | None | $186.21 | $309.03 | $524.81 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $309.03 Typical High $549.54 | Professional | None | $57.54 | $309.03 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $407.38 | Facility | None | $213.80 | $380.19 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $309.03 | Facility | None | $151.36 | $194.98 | $309.03 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $288.40 | Professional | None | $181.97 | $181.97 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $8,511.38 | Facility | None | $3,311.31 | $4,570.88 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $501.19 | Professional | None | $177.83 | $295.12 | $501.19 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $562.34 | Professional | None | $162.18 | $288.40 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $309.03 | Professional | None | $165.96 | $263.03 | $309.03 |
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 $87.10 Median $102.33 Typical High $147.91 | Professional | 52 · Reduced service | $87.10 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $34.67 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $154.88 Typical High $223.87 | Professional | 54 · Surgery only | $128.82 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $30.90 Typical High $44.67 | Professional | 55 · Aftercare only | $25.70 | $30.90 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $20.42 Typical High $29.51 | Professional | 56 · Pre-op care only | $17.38 | $20.42 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $144.54 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $120.23 | $144.54 | $208.93 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,011.87 Median $6,760.83 Typical High $12,589.25 | Facility | 50 · Both sides | $5,011.87 | $6,760.83 | $12,589.25 |
Where Washington sits
The same service costs 3.9 times more in Oklahoma 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· 11th of 51
$302
OK $646KY $166
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.