How much rates vary
Facilitymedian $380 · 10th to 90th $129 to $1,122Professionalmedian $417 · 10th to 90th $51 to $891
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 $524.81 Median $5,128.61 Typical High $20,892.96 | Facility | None | $524.81 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | None | $478.63 | $524.81 | $524.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $1,348.96 | Facility | None | $275.42 | $630.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $3,890.45 | Professional | None | $501.19 | $831.76 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $630.96 | Facility | None | $181.97 | $354.81 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $891.25 | Professional | None | $389.05 | $457.09 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $457.09 Typical High $954.99 | Professional | None | $173.78 | $457.09 | $954.99 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $338.84 Typical High $870.96 | Professional | None | $46.77 | $338.84 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $831.76 | Facility | None | $446.68 | $741.31 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $257.04 | Facility | None | $107.15 | $147.91 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | None | $512.86 | $512.86 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $724.44 Typical High $1,318.26 | Facility | None | $537.03 | $724.44 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $891.25 | Professional | None | $501.19 | $549.54 | $891.25 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,000.00 | Facility | None | $134.90 | $346.74 | $1,000.00 |
United Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $1,096.48 | Professional | None | $407.38 | $524.81 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $794.33 | Professional | None | $371.54 | $524.81 | $794.33 |
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 $239.88 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $239.88 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $77.62 Typical High $79.43 | Professional | 55 · Aftercare only | $72.44 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $47.86 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $331.13 | $363.08 | $363.08 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $794.33 Median $1,071.52 Typical High $1,949.84 | Facility | 50 · Both sides | $794.33 | $1,071.52 | $1,949.84 |
Where Washington sits
The same service costs 5.2 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· 35th of 51
$417
AK $1,514TX $288
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.