How much rates vary
Facilitymedian $3,388 · 10th to 90th $832 to $20,417Professionalmedian $631 · 10th to 90th $93 to $1,514
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 $1,258.93 | Professional | None | $1,122.02 | $1,122.02 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,513.56 Typical High $22,387.21 | Facility | None | $602.56 | $1,513.56 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $8,317.64 | Professional | None | $1,174.90 | $1,778.28 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $7,244.36 | Facility | None | $707.95 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,905.46 | Professional | None | $891.25 | $1,071.52 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $2,398.83 Typical High $5,754.40 | Professional | None | $977.24 | $2,398.83 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $537.03 Typical High $1,445.44 | Professional | None | $85.11 | $537.03 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,737.80 | Facility | None | $1,258.93 | $1,621.81 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,513.56 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,174.90 | $1,949.84 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,230.27 | $2,398.83 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,698.24 | Professional | None | $812.83 | $1,096.48 | $1,698.24 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
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 $16,982.44 Median $25,703.96 Typical High $48,977.88 | Facility | 50 · Both sides | $16,982.44 | $25,703.96 | $48,977.88 |
Where Washington sits
The same service costs 20.9 times more in Alaska than in Texas. 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· 49th of 51
$646
AK $3,467TX $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.