How much rates vary
Facilitymedian $2,512 · 10th to 90th $891 to $12,303Professionalmedian $550 · 10th to 90th $93 to $1,318
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 $933.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $933.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | None | $933.25 | $933.25 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $524.81 Median $9,120.11 Typical High $17,782.79 | Facility | None | $524.81 | $9,120.11 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $5,370.32 Typical High $6,025.60 | Professional | None | $1,000.00 | $5,370.32 | $6,025.60 |
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 $724.44 Median $870.96 Typical High $1,621.81 | Professional | None | $724.44 | $870.96 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,819.70 Typical High $3,162.28 | Professional | None | $794.33 | $1,819.70 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $478.63 Typical High $1,230.27 | Professional | None | $85.11 | $478.63 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $1,445.44 | Facility | None | $851.14 | $1,380.38 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $3,162.28 | Facility | None | $1,318.26 | $1,905.46 | $3,162.28 |
Premera BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $1,000.00 Median $1,000.00 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,000.00 | $1,659.59 |
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 $831.76 Median $1,023.29 Typical High $2,041.74 | Professional | None | $831.76 | $1,023.29 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,479.11 | Professional | None | $707.95 | $954.99 | $1,479.11 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
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 7.8 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
$562
AK $3,020TX $389
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.