How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,000 to $20,893Professionalmedian $550 · 10th to 90th $93 to $1,318
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 $1,000.00 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,000.00 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | None | $1,000.00 | $1,000.00 | $1,096.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $524.81 Median $1,659.59 Typical High $22,387.21 | Facility | None | $524.81 | $1,659.59 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $8,709.64 | Professional | None | $1,047.13 | $1,584.89 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,168.69 Typical High $7,413.10 | Facility | None | $741.31 | $4,168.69 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,698.24 | Professional | None | $794.33 | $954.99 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,995.26 Typical High $5,754.40 | Professional | None | $831.76 | $1,995.26 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $478.63 Typical High $1,258.93 | Professional | None | $85.11 | $478.63 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,348.96 Typical High $1,548.82 | Facility | None | $912.01 | $1,348.96 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,584.89 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $1,047.13 Median $1,047.13 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,047.13 | $1,737.80 |
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 $891.25 Median $1,096.48 Typical High $2,137.96 | Professional | None | $891.25 | $1,096.48 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,479.11 | Professional | None | $707.95 | $954.99 | $1,479.11 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
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 16.6 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
$575
AK $3,090TX $186
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.