How much rates vary
Facilitymedian $2,089 · 10th to 90th $741 to $12,023Professionalmedian $407 · 10th to 90th $81 to $1,202
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 $6,456.54 Typical High $20,892.96 | Facility | None | $812.83 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Professional | None | $812.83 | $812.83 | $891.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $1,148.15 Typical High $12,302.69 | Facility | None | $446.68 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $870.96 Median $4,677.35 Typical High $5,248.07 | Professional | None | $870.96 | $4,677.35 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $3,890.45 | Facility | None | $630.96 | $2,137.96 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $1,412.54 | Professional | None | $630.96 | $758.58 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,698.24 Typical High $3,162.28 | Professional | None | $707.95 | $1,698.24 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $309.03 Typical High $1,071.52 | Professional | None | $72.44 | $309.03 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,288.25 | Facility | None | $831.76 | $1,202.26 | $1,288.25 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,122.02 | $1,659.59 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $870.96 Median $870.96 Typical High $1,445.44 | Professional | None | $870.96 | $870.96 | $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 $724.44 Median $891.25 Typical High $1,737.80 | Professional | None | $724.44 | $891.25 | $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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
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 $616.60 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
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 18.6 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
$437
AK $2,630TX $141
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.