How much rates vary
Facilitymedian $1,862 · 10th to 90th $759 to $12,023Professionalmedian $447 · 10th to 90th $89 to $1,096
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 $741.31 Median $11,220.18 Typical High $21,877.62 | Facility | None | $741.31 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | None | $741.31 | $741.31 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $1,513.56 Typical High $12,302.69 | Facility | None | $416.87 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $794.33 Median $4,265.80 Typical High $4,786.30 | Professional | None | $794.33 | $4,265.80 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,238.72 Typical High $4,073.80 | Facility | None | $707.95 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,288.25 | Professional | None | $575.44 | $691.83 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,621.81 Typical High $3,162.28 | Professional | None | $645.65 | $1,621.81 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $389.05 Typical High $1,023.29 | Professional | None | $85.11 | $389.05 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,174.90 | Facility | None | $812.83 | $1,122.02 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,584.89 Typical High $2,691.53 | Facility | None | $812.83 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,318.26 | Professional | None | $794.33 | $794.33 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,621.81 | Professional | None | $660.69 | $812.83 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,148.15 | Professional | None | $549.54 | $741.31 | $1,148.15 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $524.81 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 8.1 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
$468
AK $2,399TX $295
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.