How much rates vary
Facilitymedian $3,802 · 10th to 90th $813 to $26,915Professionalmedian $525 · 10th to 90th $93 to $1,230
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 $1,122.02 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,122.02 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $1,000.00 | Professional | None | $660.69 | $870.96 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $478.63 Median $19,952.62 Typical High $41,686.94 | Facility | None | $478.63 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $933.25 Median $4,897.79 Typical High $5,495.41 | Professional | None | $933.25 | $4,897.79 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $8,709.64 | Facility | None | $707.95 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,479.11 | Professional | None | $676.08 | $794.33 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,778.28 Typical High $7,079.46 | Professional | None | $758.58 | $1,778.28 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $446.68 Typical High $1,148.15 | Professional | None | $85.11 | $446.68 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,348.96 | Facility | None | $954.99 | $1,258.93 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $3,019.95 Typical High $4,786.30 | Facility | None | $912.01 | $3,019.95 | $4,786.30 |
Premera BCBS Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $21,379.62 Typical High $39,810.72 | Facility | None | $15,848.93 | $21,379.62 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,548.82 | Professional | None | $933.25 | $933.25 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $28,183.83 | Facility | None | $1,548.82 | $2,570.40 | $28,183.83 |
United Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,862.09 | Professional | None | $776.25 | $954.99 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,318.26 | Professional | None | $630.96 | $851.14 | $1,318.26 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $23,988.33 Median $32,359.37 Typical High $58,884.37 | Facility | 50 · Both sides | $23,988.33 | $32,359.37 | $58,884.37 |
Where Washington sits
The same service costs 7.4 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· 49th of 51
$525
AK $2,754TX $372
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.