How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,288 to $20,893Professionalmedian $724 · 10th to 90th $95 to $1,738
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 $1,288.25 Median $12,589.25 Typical High $24,547.09 | Facility | None | $1,288.25 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,288.25 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $2,630.27 Typical High $22,387.21 | Facility | None | $676.08 | $2,630.27 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $8,709.64 | Professional | None | $1,380.38 | $2,089.30 | $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 $1,000.00 Median $1,202.26 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,202.26 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $5,754.40 | Professional | None | $1,122.02 | $2,630.27 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $630.96 Typical High $1,621.81 | Professional | None | $87.10 | $630.96 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,949.84 | $1,995.26 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,621.81 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $1,380.38 Median $1,380.38 Typical High $2,290.87 | Professional | None | $1,380.38 | $1,380.38 | $2,290.87 |
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 $1,148.15 Median $1,445.44 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,445.44 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,862.09 | Professional | None | $891.25 | $1,202.26 | $1,862.09 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
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 18.2 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
$741
AK $4,074TX $224
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.