How much rates vary
Facilitymedian $3,467 · 10th to 90th $832 to $23,442Professionalmedian $646 · 10th to 90th $95 to $1,549
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 $1,096.48 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,096.48 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,202.26 | Professional | None | $851.14 | $1,096.48 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,513.56 Typical High $27,542.29 | Facility | None | $602.56 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,174.90 Median $6,165.95 Typical High $6,918.31 | Professional | None | $1,174.90 | $6,165.95 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,888.44 Typical High $11,220.18 | Facility | None | $707.95 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,905.46 | Professional | None | $851.14 | $1,023.29 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $2,344.23 Typical High $8,912.51 | Professional | None | $954.99 | $2,344.23 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $562.34 Typical High $1,445.44 | Professional | None | $85.11 | $562.34 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,659.59 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $3,715.35 Typical High $7,413.10 | Facility | None | $1,174.90 | $3,715.35 | $7,413.10 |
Premera BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,174.90 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $28,183.83 | Facility | None | $1,513.56 | $2,570.40 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,230.27 | $2,398.83 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,659.59 | Professional | None | $794.33 | $1,071.52 | $1,659.59 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $20,892.96 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $20,892.96 | $31,622.78 | $58,884.37 |
Where Washington sits
The same service costs 4.9 times more in Colorado than in Hawaii. 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.
Physician feeFacility fee
CO $12,422HI $2,542
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.