How much rates vary
Facilitymedian $1,905 · 10th to 90th $676 to $12,023Professionalmedian $1,175 · 10th to 90th $186 to $2,818
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 $1,995.26 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,995.26 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,995.26 | $1,995.26 | $2,187.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $12,302.69 | Facility | None | $954.99 | $1,659.59 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,137.96 Median $10,964.78 Typical High $12,589.25 | Professional | None | $2,137.96 | $10,964.78 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,238.72 Typical High $4,073.80 | Facility | None | $1,000.00 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $3,388.44 | Professional | None | $1,513.56 | $1,778.28 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,511.89 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,000.00 Typical High $2,630.27 | Professional | None | $169.82 | $1,000.00 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $3,019.95 | Facility | None | $1,949.84 | $2,754.23 | $3,019.95 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,621.81 Typical High $2,691.53 | Facility | None | $691.83 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,467.37 | Professional | None | $2,137.96 | $2,137.96 | $3,467.37 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $12,882.50 | Facility | None | $588.84 | $977.24 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $4,168.69 | Professional | None | $1,698.24 | $2,137.96 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $3,019.95 | Professional | None | $1,445.44 | $1,949.84 | $3,019.95 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,412.54 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 15.8 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· 48th of 51
$1,175
AK $6,310TX $398
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.