How much rates vary
Facilitymedian $3,715 · 10th to 90th $977 to $23,442Professionalmedian $708 · 10th to 90th $95 to $1,738
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 $1,230.27 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,230.27 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,230.27 | $1,348.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $1,621.81 Typical High $27,542.29 | Facility | None | $676.08 | $1,621.81 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,318.26 Median $7,079.46 Typical High $7,762.47 | Professional | None | $1,318.26 | $7,079.46 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,677.35 Typical High $8,709.64 | Facility | None | $891.25 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $2,137.96 | Professional | None | $954.99 | $1,148.15 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $2,691.53 Typical High $7,079.46 | Professional | None | $1,071.52 | $2,691.53 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $602.56 Typical High $1,621.81 | Professional | None | $85.11 | $602.56 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,737.80 | $1,905.46 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $3,548.13 Typical High $6,025.60 | Facility | None | $1,659.59 | $3,548.13 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $39,810.72 | Facility | None | $15,848.93 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,318.26 | $2,187.76 |
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 $1,122.02 Median $1,380.38 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,380.38 | $2,691.53 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,862.09 | Professional | None | $891.25 | $1,202.26 | $1,862.09 |
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 $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $23,988.33 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $23,988.33 | $31,622.78 | $58,884.37 |
Where Washington sits
The same service costs 7.9 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
$741
AK $3,981TX $501
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.