How much rates vary
Facilitymedian $2,399 · 10th to 90th $851 to $12,023Professionalmedian $575 · 10th to 90th $93 to $1,380
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 $977.24 Median $11,220.18 Typical High $21,877.62 | Facility | None | $977.24 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,071.52 | Professional | None | $977.24 | $977.24 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $1,513.56 Typical High $12,302.69 | Facility | None | $537.03 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,047.13 Median $6,309.57 Typical High $6,456.54 | Professional | None | $1,047.13 | $6,309.57 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,238.72 Typical High $4,073.80 | Facility | None | $707.95 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,698.24 | Professional | None | $758.58 | $912.01 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,862.09 Typical High $3,162.28 | Professional | None | $851.14 | $1,862.09 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $501.19 Typical High $1,288.25 | Professional | None | $85.11 | $501.19 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,047.13 | $1,479.11 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,288.25 | $1,819.70 | $3,162.28 |
Premera BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $9,772.37 Typical High $17,782.79 | Facility | None | $7,244.36 | $9,772.37 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,047.13 | $1,737.80 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $12,882.50 | Facility | None | $2,089.30 | $3,548.13 | $12,882.50 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $2,137.96 | Professional | None | $891.25 | $1,071.52 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,513.56 | Professional | None | $724.44 | $977.24 | $1,513.56 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $691.83 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,964.78 Median $14,454.40 Typical High $26,915.35 | Facility | 50 · Both sides | $10,964.78 | $14,454.40 | $26,915.35 |
Where Washington sits
The same service costs 8.3 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
$589
AK $3,162TX $380
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.