How much rates vary
Facilitymedian $2,138 · 10th to 90th $832 to $12,023Professionalmedian $741 · 10th to 90th $135 to $1,820
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 $1,258.93 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,258.93 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,258.93 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $12,302.69 | Facility | None | $676.08 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,348.96 Median $7,413.10 Typical High $7,585.78 | Professional | None | $1,348.96 | $7,413.10 | $7,585.78 |
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 $1,023.29 Median $1,230.27 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,230.27 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,122.02 | $2,089.30 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $1,737.80 | Professional | None | $128.82 | $630.96 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,949.84 | $1,995.26 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $3,019.95 | Facility | None | $1,288.25 | $1,819.70 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,760.83 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,348.96 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,818.38 | Professional | None | $1,071.52 | $1,445.44 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,862.09 | Professional | None | $912.01 | $1,230.27 | $1,862.09 |
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 $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,000.00 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $10,000.00 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 7.6 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
$776
AK $3,981TX $525
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.