How much rates vary
Facilitymedian $3,715 · 10th to 90th $955 to $24,547Professionalmedian $646 · 10th to 90th $93 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 $1,071.52 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,071.52 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,071.52 | $1,071.52 | $1,174.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $1,621.81 Typical High $27,542.29 | Facility | None | $588.84 | $1,621.81 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,148.15 Median $6,025.60 Typical High $6,760.83 | Professional | None | $1,148.15 | $6,025.60 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,677.35 Typical High $8,709.64 | Facility | None | $891.25 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,819.70 | Professional | None | $831.76 | $1,000.00 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $2,290.87 Typical High $7,079.46 | Professional | None | $933.25 | $2,290.87 | $7,079.46 |
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 $1,174.90 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,174.90 | $1,548.82 | $1,659.59 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $6,025.60 | Facility | None | $1,659.59 | $3,467.37 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,148.15 Median $1,148.15 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,148.15 | $1,905.46 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $28,183.83 | Facility | None | $2,089.30 | $3,548.13 | $28,183.83 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $2,290.87 | Professional | None | $954.99 | $1,174.90 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,621.81 | Professional | None | $776.25 | $1,047.13 | $1,621.81 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
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 7.6 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
$661
AK $3,388TX $447
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.