How much rates vary
Facilitymedian $2,399 · 10th to 90th $794 to $13,183Professionalmedian $1,259 · 10th to 90th $1,096 to $7,413
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 $1,174.90 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,174.90 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,174.90 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $645.65 Median $1,513.56 Typical High $13,803.84 | Facility | None | $645.65 | $1,513.56 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,258.93 Median $7,413.10 Typical High $8,128.31 | Professional | None | $1,258.93 | $7,413.10 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,570.40 Typical High $4,786.30 | Facility | None | $707.95 | $2,570.40 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $2,290.87 | Professional | None | $912.01 | $1,096.48 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,412.54 | $2,344.23 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | None | $39.81 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,412.54 | $1,778.28 | $1,778.28 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $3,311.31 | Facility | None | $912.01 | $1,905.46 | $3,311.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $10,471.29 Typical High $19,952.62 | Facility | None | $6,918.31 | $10,471.29 | $19,952.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,258.93 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $13,803.84 | Facility | None | $1,513.56 | $2,570.40 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,288.25 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,471.29 Median $15,848.93 Typical High $29,512.09 | Facility | 50 · Both sides | $10,471.29 | $15,848.93 | $29,512.09 |
Where Washington sits
The same service costs 5.0 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· 19th of 51
$1,380
AK $3,715KY $741
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.