How much rates vary
Facilitymedian $2,138 · 10th to 90th $891 to $12,303Professionalmedian $468 · 10th to 90th $91 to $1,072
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 $758.58 Median $11,220.18 Typical High $21,877.62 | Facility | None | $758.58 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | None | $758.58 | $758.58 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $426.58 Median $1,621.81 Typical High $12,302.69 | Facility | None | $426.58 | $1,621.81 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $9,549.93 | Professional | None | $812.83 | $1,230.27 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,238.72 Typical High $4,073.80 | Facility | None | $891.25 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $1,318.26 | Professional | None | $588.84 | $691.83 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,162.28 | Professional | None | $660.69 | $1,659.59 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $407.38 Typical High $1,023.29 | Professional | None | $85.11 | $407.38 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,174.90 | Facility | None | $954.99 | $1,122.02 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,148.15 | $1,659.59 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,760.83 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,348.96 | Professional | None | $812.83 | $812.83 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,621.81 | Professional | None | $676.08 | $831.76 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,202.26 | Professional | None | $575.44 | $776.25 | $1,202.26 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,000.00 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $10,000.00 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 14.1 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
$479
AK $2,455TX $174
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.