How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,000 to $24,547Professionalmedian $832 · 10th to 90th $138 to $2,089
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 $1,479.11 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,479.11 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,479.11 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $794.33 Median $1,621.81 Typical High $27,542.29 | Facility | None | $794.33 | $1,621.81 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,584.89 Median $9,120.11 Typical High $9,332.54 | Professional | None | $1,584.89 | $9,120.11 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $6,456.54 Typical High $12,022.64 | Facility | None | $891.25 | $6,456.54 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,380.38 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $3,162.28 Typical High $9,772.37 | Professional | None | $1,288.25 | $3,162.28 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $707.95 Typical High $1,949.84 | Professional | None | $128.82 | $707.95 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,344.23 | Facility | None | $1,737.80 | $2,187.76 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,570.88 | $7,762.47 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $39,810.72 | Facility | None | $15,848.93 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,691.53 | Professional | None | $1,584.89 | $1,584.89 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,659.59 | $3,235.94 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,445.44 | $2,187.76 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $23,988.33 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $23,988.33 | $31,622.78 | $58,884.37 |
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
$871
AK $4,786TX $575
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.