How much rates vary
Facilitymedian $3,162 · 10th to 90th $776 to $23,442Professionalmedian $427 · 10th to 90th $85 to $1,047
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 $724.44 Median $11,220.18 Typical High $21,877.62 | Facility | None | $724.44 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $794.33 | Professional | None | $602.56 | $724.44 | $794.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $1,513.56 Typical High $27,542.29 | Facility | None | $407.38 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $776.25 Median $4,265.80 Typical High $4,677.35 | Professional | None | $776.25 | $4,265.80 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $8,709.64 | Facility | None | $707.95 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,258.93 | Professional | None | $562.34 | $660.69 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $1,584.89 Typical High $7,079.46 | Professional | None | $630.96 | $1,584.89 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $371.54 Typical High $977.24 | Professional | None | $83.18 | $371.54 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,122.02 | Facility | None | $794.33 | $1,071.52 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,148.15 | $3,162.28 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $776.25 Median $776.25 Typical High $1,288.25 | Professional | None | $776.25 | $776.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $28,183.83 | Facility | None | $1,513.56 | $2,570.40 | $28,183.83 |
United Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,548.82 | Professional | None | $645.65 | $794.33 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,148.15 | Professional | None | $549.54 | $741.31 | $1,148.15 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
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
$447
AK $2,344TX $309
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.