How much rates vary
Facilitymedian $372 · 10th to 90th $117 to $1,122Professionalmedian $490 · 10th to 90th $89 to $1,072
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 $630.96 Median $5,128.61 Typical High $20,892.96 | Facility | None | $630.96 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $676.08 | Professional | None | $630.96 | $645.65 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $354.81 Median $630.96 Typical High $1,348.96 | Facility | None | $354.81 | $630.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $5,011.87 | Professional | None | $676.08 | $1,071.52 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $630.96 | Facility | None | $181.97 | $354.81 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $1,148.15 | Professional | None | $512.86 | $602.56 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $616.60 Typical High $1,258.93 | Professional | None | $173.78 | $616.60 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $398.11 Typical High $1,047.13 | Professional | None | $83.18 | $398.11 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $977.24 Typical High $1,047.13 | Facility | None | $794.33 | $977.24 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $257.04 | Facility | None | $75.86 | $128.82 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | None | $691.83 | $691.83 | $741.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | None | $457.09 | $691.83 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,148.15 | Professional | None | $676.08 | $724.44 | $1,148.15 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,000.00 | Facility | None | $134.90 | $346.74 | $1,000.00 |
United Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,412.54 | Professional | None | $575.44 | $691.83 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $1,023.29 | Professional | None | $489.78 | $676.08 | $1,023.29 |
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 $316.23 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $316.23 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $125.89 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $478.63 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $95.50 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $446.68 | $478.63 | $478.63 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $691.83 Median $1,023.29 Typical High $1,949.84 | Facility | 50 · Both sides | $691.83 | $1,023.29 | $1,949.84 |
Where Washington sits
The same service costs 5.8 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· 45th of 51
$490
AK $2,042TX $355
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.