How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,230 to $26,915Professionalmedian $676 · 10th to 90th $93 to $1,660
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 $1,174.90 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,174.90 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,174.90 | $1,174.90 | $1,288.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $645.65 Median $1,513.56 Typical High $27,542.29 | Facility | None | $645.65 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,258.93 Median $6,606.93 Typical High $7,413.10 | Professional | None | $1,258.93 | $6,606.93 | $7,413.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $2,511.89 Typical High $10,471.29 | Professional | None | $1,023.29 | $2,511.89 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $602.56 Typical High $1,548.82 | Professional | None | $85.11 | $602.56 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,819.70 | Facility | None | $1,258.93 | $1,621.81 | $1,819.70 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $3,548.13 Typical High $6,606.93 | Facility | None | $1,621.81 | $3,548.13 | $6,606.93 |
Premera BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,258.93 | $2,089.30 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $28,183.83 | Facility | None | $2,089.30 | $3,548.13 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,288.25 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,778.28 | Professional | None | $851.14 | $1,148.15 | $1,778.28 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $20,892.96 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $20,892.96 | $31,622.78 | $58,884.37 |
Where Washington sits
The same service costs 17.4 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
$692
AK $3,715TX $214
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.