How much rates vary
Facilitymedian $1,413 · 10th to 90th $724 to $6,166Professionalmedian $468 · 10th to 90th $93 to $1,096
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 $776.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $776.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | None | $776.25 | $776.25 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $6,165.95 | Facility | None | $426.58 | $1,513.56 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $5,011.87 Typical High $5,495.41 | Professional | None | $812.83 | $5,011.87 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,290.87 | Facility | None | $707.95 | $1,230.27 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,318.26 | Professional | None | $588.84 | $707.95 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,202.26 Typical High $1,737.80 | Professional | None | $660.69 | $1,202.26 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $407.38 Typical High $1,023.29 | Professional | None | $85.11 | $407.38 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,230.27 | Facility | None | $812.83 | $1,122.02 | $1,230.27 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,737.80 | Facility | None | $741.31 | $1,047.13 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $8,912.51 | Facility | None | $3,630.78 | $4,897.79 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,380.38 | Professional | None | $812.83 | $812.83 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $6,309.57 | Facility | None | $1,202.26 | $1,949.84 | $6,309.57 |
United Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,659.59 | Professional | None | $707.95 | $831.76 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,202.26 | Professional | None | $575.44 | $776.25 | $1,202.26 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,495.41 Median $7,413.10 Typical High $13,489.63 | Facility | 50 · Both sides | $5,495.41 | $7,413.10 | $13,489.63 |
Where Washington sits
The same service costs 7.4 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
$479
AK $2,455TX $331
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.