How much rates vary
Facilitymedian $1,738 · 10th to 90th $955 to $10,965Professionalmedian $562 · 10th to 90th $93 to $1,349
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 $9,549.93 Typical High $21,877.62 | Facility | None | $933.25 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,023.29 | Professional | None | $794.33 | $933.25 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $7,943.28 Typical High $16,218.10 | Facility | None | $512.86 | $7,943.28 | $16,218.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $5,248.07 Typical High $6,025.60 | Professional | None | $1,000.00 | $5,248.07 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $3,235.94 | Facility | None | $707.95 | $1,905.46 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,584.89 | Professional | None | $741.31 | $891.25 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,584.89 Typical High $2,454.71 | Professional | None | $831.76 | $1,584.89 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $489.78 Typical High $1,258.93 | Professional | None | $85.11 | $489.78 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,096.48 | $1,445.44 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,089.30 | Facility | None | $954.99 | $1,258.93 | $2,089.30 |
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 $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
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 $1,202.26 Median $1,949.84 Typical High $11,220.18 | Facility | None | $1,202.26 | $1,949.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,041.74 | Professional | None | $870.96 | $1,047.13 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,412.54 | Professional | None | $691.83 | $933.25 | $1,412.54 |
3 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 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $12,589.25 Typical High $23,442.29 | Facility | 50 · Both sides | $8,317.64 | $12,589.25 | $23,442.29 |
Where Washington sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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.
Physician feeFacility fee
WI $7,315MD $2,090
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.