How much rates vary
Facilitymedian $3,162 · 10th to 90th $813 to $22,909Professionalmedian $537 · 10th to 90th $93 to $1,318
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 $912.01 Median $11,220.18 Typical High $21,877.62 | Facility | None | $912.01 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | None | $912.01 | $912.01 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $1,513.56 Typical High $27,542.29 | Facility | None | $501.19 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $954.99 Median $5,128.61 Typical High $5,754.40 | Professional | None | $954.99 | $5,128.61 | $5,754.40 |
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 $691.83 Median $831.76 Typical High $1,548.82 | Professional | None | $691.83 | $831.76 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,949.84 Typical High $7,079.46 | Professional | None | $776.25 | $1,949.84 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $457.09 Typical High $1,202.26 | Professional | None | $85.11 | $457.09 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,380.38 | Facility | None | $977.24 | $1,318.26 | $1,380.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,148.15 | $3,162.28 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $954.99 Median $954.99 Typical High $1,621.81 | Professional | None | $954.99 | $954.99 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $28,183.83 | Facility | None | $1,513.56 | $2,570.40 | $28,183.83 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,949.84 | Professional | None | $794.33 | $1,000.00 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,380.38 | Professional | None | $660.69 | $891.25 | $1,380.38 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
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 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
$550
AK $2,884TX $363
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.