How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,096 to $24,547Professionalmedian $708 · 10th to 90th $95 to $1,698
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 $1,202.26 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,202.26 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | None | $1,202.26 | $1,202.26 | $1,318.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $27,542.29 | Facility | None | $660.69 | $1,659.59 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,288.25 Median $7,079.46 Typical High $7,585.78 | Professional | None | $1,288.25 | $7,079.46 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $5,888.44 Typical High $11,220.18 | Facility | None | $1,000.00 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $2,041.74 | Professional | None | $954.99 | $1,122.02 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $8,912.51 | Professional | None | $1,047.13 | $2,570.40 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $616.60 Typical High $1,584.89 | Professional | None | $87.10 | $616.60 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,096.48 | $1,819.70 | $1,905.46 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $7,079.46 | Facility | None | $2,691.53 | $4,365.16 | $7,079.46 |
Premera BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $39,810.72 | Facility | None | $15,848.93 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,288.25 | $2,187.76 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,348.96 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,819.70 | Professional | None | $870.96 | $1,174.90 | $1,819.70 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $23,988.33 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $23,988.33 | $31,622.78 | $58,884.37 |
Where Washington sits
The same service costs 7.9 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
$724
AK $3,890TX $490
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.