How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,096 to $40,738Professionalmedian $741 · 10th to 90th $93 to $1,820
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 $1,288.25 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,288.25 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,288.25 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $51,286.14 | Facility | None | $691.83 | $1,659.59 | $51,286.14 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,380.38 Median $7,585.78 Typical High $8,128.31 | Professional | None | $1,380.38 | $7,585.78 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $8,511.38 Typical High $16,218.10 | Facility | None | $1,000.00 | $8,511.38 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,202.26 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $13,182.57 | Professional | None | $1,122.02 | $2,754.23 | $13,182.57 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $645.65 Typical High $1,698.24 | Professional | None | $85.11 | $645.65 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $1,949.84 | Facility | None | $1,380.38 | $1,778.28 | $1,949.84 |
Premera BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $6,760.83 Typical High $11,748.98 | Facility | None | $1,698.24 | $6,760.83 | $11,748.98 |
Premera BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $1,380.38 Median $1,380.38 Typical High $2,290.87 | Professional | None | $1,380.38 | $1,380.38 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $50,118.72 | Facility | None | $2,691.53 | $4,677.35 | $50,118.72 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,412.54 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,905.46 | Professional | None | $933.25 | $1,258.93 | $1,905.46 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
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 8.5 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
$759
AK $4,074TX $479
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.