How much rates vary
Facilitymedian $1,318 · 10th to 90th $437 to $11,482Professionalmedian $339 · 10th to 90th $50 to $813
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 $537.03 Median $6,165.95 Typical High $20,892.96 | Facility | None | $537.03 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | None | $537.03 | $537.03 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $302.00 Median $870.96 Typical High $12,302.69 | Facility | None | $302.00 | $870.96 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $562.34 Median $3,019.95 Typical High $3,467.37 | Professional | None | $562.34 | $3,019.95 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,089.30 Typical High $3,890.45 | Facility | None | $467.74 | $2,089.30 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $933.25 | Professional | None | $398.11 | $478.63 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $1,148.15 Typical High $3,162.28 | Professional | None | $446.68 | $1,148.15 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $288.40 Typical High $741.31 | Professional | None | $46.77 | $288.40 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $831.76 | Facility | None | $446.68 | $776.25 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,548.82 Typical High $2,691.53 | Facility | None | $537.03 | $1,548.82 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $954.99 | Professional | None | $562.34 | $562.34 | $954.99 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $12,882.50 | Facility | None | $371.54 | $691.83 | $12,882.50 |
United Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $1,122.02 | Professional | None | $457.09 | $575.44 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $870.96 | Professional | None | $407.38 | $549.54 | $870.96 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 8.1 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· 48th of 51
$339
AK $1,698TX $209
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.