How much rates vary
Facilitymedian $1,820 · 10th to 90th $550 to $11,482Professionalmedian $339 · 10th to 90th $50 to $813
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 $549.54 Median $6,165.95 Typical High $20,892.96 | Facility | None | $549.54 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | None | $549.54 | $549.54 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $870.96 Typical High $12,302.69 | Facility | None | $309.03 | $870.96 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $3,162.28 Typical High $3,548.13 | Professional | None | $575.44 | $3,162.28 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,089.30 Typical High $3,890.45 | Facility | None | $467.74 | $2,089.30 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $501.19 Typical High $933.25 | Professional | None | $416.87 | $501.19 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $1,174.90 Typical High $3,162.28 | Professional | None | $467.74 | $1,174.90 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $288.40 Typical High $741.31 | Professional | None | $46.77 | $288.40 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $794.33 Typical High $870.96 | Facility | None | $588.84 | $794.33 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $2,691.53 | Facility | None | $794.33 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $977.24 | Professional | None | $575.44 | $575.44 | $977.24 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $1,148.15 | Professional | None | $467.74 | $588.84 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $870.96 | Professional | None | $416.87 | $562.34 | $870.96 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $380.19 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 8.3 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
$347
AK $1,738TX $209
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.