How much rates vary
Facilitymedian $372 · 10th to 90th $117 to $1,122Professionalmedian $398 · 10th to 90th $51 to $871
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 $512.86 Median $5,128.61 Typical High $20,892.96 | Facility | None | $512.86 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $588.84 | Professional | None | $363.08 | $467.74 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $269.15 Median $630.96 Typical High $1,348.96 | Facility | None | $269.15 | $630.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $489.78 Median $794.33 Typical High $3,801.89 | Professional | None | $489.78 | $794.33 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $630.96 | Facility | None | $181.97 | $354.81 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $870.96 | Professional | None | $380.19 | $457.09 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $457.09 Typical High $933.25 | Professional | None | $173.78 | $457.09 | $933.25 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $323.59 Typical High $851.14 | Professional | None | $46.77 | $323.59 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $794.33 | Facility | None | $436.52 | $724.44 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $257.04 | Facility | None | $79.43 | $131.83 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | None | $501.19 | $501.19 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | None | $457.09 | $691.83 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $851.14 | Professional | None | $489.78 | $537.03 | $851.14 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,000.00 | Facility | None | $134.90 | $346.74 | $1,000.00 |
United Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $1,047.13 | Professional | None | $407.38 | $512.86 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $776.25 | Professional | None | $363.08 | $512.86 | $776.25 |
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 $229.09 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $93.33 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $346.74 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $46.77 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $354.81 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $323.59 | $354.81 | $354.81 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $1,023.29 Typical High $1,949.84 | Facility | 50 · Both sides | $691.83 | $1,023.29 | $1,949.84 |
Where Washington sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 37th of 51
$398
AK $1,479UT $288
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.