How much rates vary
Facilitymedian $2,138 · 10th to 90th $813 to $12,023Professionalmedian $479 · 10th to 90th $93 to $1,148
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 $812.83 Median $11,220.18 Typical High $21,877.62 | Facility | None | $812.83 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $870.96 | Professional | None | $812.83 | $812.83 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $1,513.56 Typical High $12,302.69 | Facility | None | $446.68 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $851.14 Median $4,677.35 Typical High $5,128.61 | Professional | None | $851.14 | $4,677.35 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,238.72 Typical High $4,073.80 | Facility | None | $707.95 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,380.38 | Professional | None | $616.60 | $741.31 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,659.59 Typical High $3,162.28 | Professional | None | $691.83 | $1,659.59 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $407.38 Typical High $1,047.13 | Professional | None | $85.11 | $407.38 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,288.25 | Facility | None | $870.96 | $1,174.90 | $1,288.25 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,148.15 | $1,659.59 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,760.83 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,445.44 | Professional | None | $851.14 | $851.14 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,737.80 | Professional | None | $707.95 | $870.96 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,258.93 | Professional | None | $602.56 | $812.83 | $1,258.93 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,000.00 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $10,000.00 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 7.8 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
$490
AK $2,570TX $331
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.