How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,122 to $24,547Professionalmedian $1,202 · 10th to 90th $224 to $2,951
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 $2,089.30 Median $9,549.93 Typical High $21,877.62 | Facility | None | $2,089.30 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,513.56 | $2,089.30 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,122.02 Median $19,952.62 Typical High $41,686.94 | Facility | None | $1,122.02 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $11,748.98 Typical High $12,882.50 | Professional | None | $2,238.72 | $11,748.98 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $8,511.38 | Facility | None | $707.95 | $4,677.35 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,659.59 | $1,995.26 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $3,981.07 Typical High $7,079.46 | Professional | None | $1,862.09 | $3,981.07 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $1,047.13 Typical High $2,754.23 | Professional | None | $208.93 | $1,047.13 | $2,754.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $3,311.31 | Facility | None | $1,905.46 | $3,019.95 | $3,311.31 |
Premera BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $10,471.29 | Facility | None | $2,951.21 | $5,128.61 | $10,471.29 |
Premera BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
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 $2,238.72 Median $2,238.72 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,238.72 | $3,715.35 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,570.88 | Professional | None | $1,905.46 | $2,344.23 | $4,570.88 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,995.26 | $3,090.30 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
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 7.8 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· 49th of 51
$1,230
AK $6,761TX $871
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.