How much rates vary
Facilitymedian $1,698 · 10th to 90th $794 to $10,715Professionalmedian $741 · 10th to 90th $102 to $1,660
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 $1,122.02 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,122.02 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,122.02 | $1,122.02 | $1,230.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,513.56 Typical High $10,964.78 | Facility | None | $602.56 | $1,513.56 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,202.26 Median $6,309.57 Typical High $6,918.31 | Professional | None | $1,202.26 | $6,309.57 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,698.24 Typical High $3,090.30 | Facility | None | $707.95 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,238.72 | Professional | None | $870.96 | $1,047.13 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,318.26 | $1,862.09 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $524.81 Typical High $1,513.56 | Professional | None | $93.33 | $524.81 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,122.02 | $1,659.59 | $1,778.28 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,230.27 Typical High $2,089.30 | Facility | None | $891.25 | $1,230.27 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $2,137.96 | Professional | None | $1,122.02 | $1,202.26 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $11,220.18 | Facility | None | $1,202.26 | $1,949.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $2,754.23 | Professional | None | $1,071.52 | $1,230.27 | $2,754.23 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,659.59 | Professional | None | $812.83 | $1,096.48 | $1,659.59 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $12,589.25 Typical High $23,442.29 | Facility | 50 · Both sides | $8,317.64 | $12,589.25 | $23,442.29 |
Where Washington sits
The same service costs 3.5 times more in Wisconsin than in Delaware. 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.
Physician feeFacility fee
WI $7,647DE $2,171
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.