How much rates vary
Facilitymedian $355 · 10th to 90th $117 to $1,072Professionalmedian $269 · 10th to 90th $50 to $575
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 $363.08 Median $5,128.61 Typical High $20,892.96 | Facility | None | $363.08 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $389.05 | Professional | None | $275.42 | $346.74 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $630.96 Typical High $1,348.96 | Facility | None | $204.17 | $630.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $2,691.53 | Professional | None | $363.08 | $562.34 | $2,691.53 |
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 $269.15 Median $323.59 Typical High $616.60 | Professional | None | $269.15 | $323.59 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $676.08 | Professional | None | $169.82 | $338.84 | $676.08 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $218.78 Typical High $549.54 | Professional | None | $46.77 | $218.78 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $512.86 Typical High $562.34 | Facility | None | $309.03 | $512.86 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $257.04 | Facility | None | $70.79 | $131.83 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | None | $371.54 | $371.54 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | None | $457.09 | $691.83 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $616.60 | Professional | None | $363.08 | $380.19 | $616.60 |
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 $295.12 Median $371.54 Typical High $741.31 | Professional | None | $295.12 | $371.54 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $588.84 | Professional | None | $275.42 | $371.54 | $588.84 |
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 $173.78 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $173.78 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $251.19 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $239.88 | $251.19 | $251.19 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $1,023.29 Typical High $1,949.84 | Facility | 50 · Both sides | $691.83 | $1,023.29 | $1,949.84 |
Where Washington sits
The same service costs 5.9 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· 44th of 51
$269
AK $1,096TX $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.