How much rates vary
Facilitymedian $372 · 10th to 90th $117 to $1,072Professionalmedian $331 · 10th to 90th $51 to $724
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 $446.68 Median $5,128.61 Typical High $20,892.96 | Facility | None | $446.68 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $501.19 | Professional | None | $309.03 | $416.87 | $501.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $239.88 Median $630.96 Typical High $1,348.96 | Facility | None | $239.88 | $630.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $3,235.94 | Professional | None | $426.58 | $691.83 | $3,235.94 |
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 $331.13 Median $398.11 Typical High $741.31 | Professional | None | $331.13 | $398.11 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $812.83 | Professional | None | $173.78 | $407.38 | $812.83 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $263.03 Typical High $691.83 | Professional | None | $46.77 | $263.03 | $691.83 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $691.83 | Facility | None | $380.19 | $630.96 | $691.83 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $257.04 | Facility | None | $79.43 | $128.82 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | None | $436.52 | $436.52 | $478.63 |
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 $426.58 Median $457.09 Typical High $741.31 | Professional | None | $426.58 | $457.09 | $741.31 |
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 $363.08 Median $446.68 Typical High $912.01 | Professional | None | $363.08 | $446.68 | $912.01 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $691.83 | Professional | None | $323.59 | $446.68 | $691.83 |
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 $204.17 Median $218.78 Typical High $223.87 | Professional | 52 · Reduced service | $204.17 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $81.28 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $302.00 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $40.74 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $281.84 | $309.03 | $309.03 |
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 5.9 times more in Alaska than in Utah. 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· 36th of 51
$331
AK $1,288UT $219
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.