How much rates vary
Facilitymedian $302 · 10th to 90th $112 to $1,047Professionalmedian $355 · 10th to 90th $51 to $759
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 $426.58 Median $3,388.44 Typical High $20,417.38 | Facility | None | $426.58 | $3,388.44 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $575.44 | Professional | None | $275.42 | $426.58 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $776.25 | Professional | None | $630.96 | $691.83 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $630.96 Typical High $1,348.96 | Facility | None | $204.17 | $630.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $3,388.44 | Professional | None | $446.68 | $707.95 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $354.81 | Facility | None | $66.07 | $208.93 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $776.25 | Professional | None | $331.13 | $389.05 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $398.11 Typical High $851.14 | Professional | None | $173.78 | $398.11 | $851.14 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $288.40 Typical High $724.44 | Professional | None | $46.77 | $288.40 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $630.96 Typical High $707.95 | Facility | None | $371.54 | $630.96 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $131.83 Typical High $257.04 | Facility | None | $74.13 | $131.83 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | None | $467.74 | $467.74 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | None | $457.09 | $691.83 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $758.58 | Professional | None | $446.68 | $467.74 | $758.58 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,000.00 | Facility | None | $134.90 | $346.74 | $1,000.00 |
United Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $933.25 | Professional | None | $338.84 | $446.68 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $758.58 | Professional | None | $354.81 | $478.63 | $758.58 |
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 $213.80 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $87.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $323.59 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $64.57 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $316.23 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $302.00 | $316.23 | $316.23 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $1,023.29 Typical High $1,949.84 | Facility | 50 · Both sides | $691.83 | $1,023.29 | $1,949.84 |
Where Washington sits
The same service costs 5.6 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· 36th of 51
$355
AK $1,380TX $245
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.