How much rates vary
Facilitymedian $2,138 · 10th to 90th $741 to $12,023Professionalmedian $537 · 10th to 90th $93 to $1,288
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 $6,456.54 Typical High $20,892.96 | Facility | None | $912.01 | $6,456.54 | $20,892.96 |
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 $1,148.15 Typical High $12,302.69 | Facility | None | $501.19 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $7,244.36 | Professional | None | $977.24 | $1,479.11 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $3,890.45 | Facility | None | $630.96 | $2,137.96 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,548.82 | Professional | None | $707.95 | $851.14 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,778.28 Typical High $3,162.28 | Professional | None | $691.83 | $1,778.28 | $3,162.28 |
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 $1,047.13 Median $1,348.96 Typical High $1,412.54 | Facility | None | $1,047.13 | $1,348.96 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,951.21 | Facility | None | $1,122.02 | $1,659.59 | $2,951.21 |
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 $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 $977.24 Median $977.24 Typical High $1,621.81 | Professional | None | $977.24 | $977.24 | $1,621.81 |
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 $794.33 Median $1,000.00 Typical High $1,995.26 | Professional | None | $794.33 | $1,000.00 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
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 $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 16.2 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 $178
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.