How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,413 to $20,417Professionalmedian $1,175 · 10th to 90th $186 to $2,818
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 $2,089.30 Median $12,589.25 Typical High $24,547.09 | Facility | None | $2,089.30 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,089.30 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $22,387.21 | Facility | None | $1,096.48 | $2,630.27 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $25,118.86 | Professional | None | $2,187.76 | $3,235.94 | $25,118.86 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $6,456.54 Typical High $12,022.64 | Facility | None | $1,380.38 | $6,456.54 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,659.59 | $1,949.84 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $4,466.84 Typical High $9,772.37 | Professional | None | $1,862.09 | $4,466.84 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,023.29 Typical High $2,691.53 | Professional | None | $169.82 | $1,023.29 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $3,235.94 | Facility | None | $1,905.46 | $3,090.30 | $3,235.94 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $4,365.16 Typical High $8,128.31 | Facility | None | $1,737.80 | $4,365.16 | $8,128.31 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $2,187.76 Median $2,187.76 Typical High $3,630.78 | Professional | None | $2,187.76 | $2,187.76 | $3,630.78 |
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 $1,862.09 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,862.09 | $2,290.87 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,995.26 | $3,090.30 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,479.11 |
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 20.0 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
$1,202
AK $6,457TX $324
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.