How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,096 to $40,738Professionalmedian $794 · 10th to 90th $95 to $1,905
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 $1,348.96 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,348.96 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,348.96 | $1,348.96 | $1,479.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $724.44 Median $1,659.59 Typical High $51,286.14 | Facility | None | $724.44 | $1,659.59 | $51,286.14 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,445.44 Median $7,762.47 Typical High $8,511.38 | Professional | None | $1,445.44 | $7,762.47 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $12,302.69 Typical High $22,908.68 | Facility | None | $1,000.00 | $12,302.69 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,258.93 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $18,620.87 | Professional | None | $1,174.90 | $2,884.03 | $18,620.87 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $676.08 Typical High $1,778.28 | Professional | None | $85.11 | $676.08 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,137.96 | Facility | None | $1,479.11 | $2,041.74 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $9,772.37 Typical High $17,378.01 | Facility | None | $1,949.84 | $9,772.37 | $17,378.01 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $26,915.35 Median $38,018.94 Typical High $72,443.60 | Facility | None | $26,915.35 | $38,018.94 | $72,443.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,445.44 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $50,118.72 | Facility | None | $2,089.30 | $3,548.13 | $50,118.72 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,513.56 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,041.74 | Professional | None | $977.24 | $1,318.26 | $2,041.74 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $40,738.03 Median $57,543.99 Typical High $109,647.82 | Facility | 50 · Both sides | $40,738.03 | $57,543.99 | $109,647.82 |
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
$813
AK $4,365TX $550
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.