How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,000 to $24,547Professionalmedian $759 · 10th to 90th $95 to $1,820
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 $1,318.26 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,318.26 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,318.26 | $1,445.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $707.95 Median $1,621.81 Typical High $27,542.29 | Facility | None | $707.95 | $1,621.81 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,412.54 Median $7,413.10 Typical High $8,128.31 | Professional | None | $1,412.54 | $7,413.10 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,677.35 Typical High $8,709.64 | Facility | None | $891.25 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,230.27 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $7,079.46 | Professional | None | $1,148.15 | $2,818.38 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $660.69 Typical High $1,698.24 | Professional | None | $85.11 | $660.69 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,995.26 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $3,715.35 Typical High $6,309.57 | Facility | None | $2,691.53 | $3,715.35 | $6,309.57 |
Premera BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $1,412.54 Median $1,412.54 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,412.54 | $2,344.23 |
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 $1,174.90 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,445.44 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,949.84 | Professional | None | $954.99 | $1,288.25 | $1,949.84 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $912.01 |
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
$776
AK $4,169TX $525
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.