How much rates vary
Facilitymedian $1,000 · 10th to 90th $437 to $6,026Professionalmedian $282 · 10th to 90th $46 to $550
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 $323.59 Median $5,128.61 Typical High $20,892.96 | Facility | None | $323.59 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $346.74 | Professional | None | $316.23 | $323.59 | $346.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $186.21 Median $870.96 Typical High $6,165.95 | Facility | None | $186.21 | $870.96 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $2,344.23 | Professional | None | $331.13 | $512.86 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,174.90 Typical High $2,137.96 | Facility | None | $467.74 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $562.34 | Professional | None | $234.42 | $281.84 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $549.54 Typical High $1,548.82 | Professional | None | $239.88 | $549.54 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $223.87 Typical High $512.86 | Professional | None | $40.74 | $223.87 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $501.19 | Facility | None | $288.40 | $446.68 | $501.19 |
Premera BCBS Setting Facility Modifier None Typical Low $199.53 Median $851.14 Typical High $1,479.11 | Facility | None | $199.53 | $851.14 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None | $338.84 | $338.84 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,090.30 | $4,677.35 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | None | $331.13 | $331.13 | $562.34 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,309.57 | Facility | None | $588.84 | $977.24 | $6,309.57 |
United Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $676.08 | Professional | None | $263.03 | $331.13 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $537.03 | Professional | None | $251.19 | $338.84 | $537.03 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $63.10 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $7,079.46 Typical High $13,489.63 | Facility | 50 · Both sides | $4,677.35 | $7,079.46 | $13,489.63 |
Where Washington sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 31st of 51
$288
AK $1,023UT $191
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.