How much rates vary
Facilitymedian $1,000 · 10th to 90th $427 to $6,166Professionalmedian $447 · 10th to 90th $85 to $1,000
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 $707.95 Median $9,549.93 Typical High $21,877.62 | Facility | None | $707.95 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $707.95 | Professional | None | $467.74 | $524.81 | $707.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $1,621.81 Typical High $6,165.95 | Facility | None | $257.04 | $1,621.81 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $4,365.16 | Professional | None | $501.19 | $933.25 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,949.84 | Facility | None | $891.25 | $1,096.48 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $1,000.00 | Professional | None | $436.52 | $630.96 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $870.96 Typical High $1,412.54 | Professional | None | $457.09 | $870.96 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $354.81 Typical High $954.99 | Professional | None | $81.28 | $354.81 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,047.13 | Facility | None | $707.95 | $1,023.29 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,230.27 | Facility | None | $371.54 | $724.44 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $707.95 | Professional | None | $501.19 | $501.19 | $707.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,162.28 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,071.52 | Professional | None | $501.19 | $707.95 | $1,071.52 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $6,456.54 | Facility | None | $371.54 | $691.83 | $6,456.54 |
United Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,202.26 | Professional | None | $467.74 | $691.83 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $741.31 | Professional | None | $346.74 | $524.81 | $741.31 |
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 $234.42 Median $263.03 Typical High $346.74 | Professional | 52 · Reduced service | $234.42 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $141.25 | Professional | 53 · Discontinued | $93.33 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $389.05 Typical High $524.81 | Professional | 54 · Surgery only | $346.74 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $77.62 Typical High $104.71 | Professional | 55 · Aftercare only | $70.79 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $52.48 Typical High $70.79 | Professional | 56 · Pre-op care only | $46.77 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $363.08 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $323.59 | $363.08 | $489.78 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $7,079.46 Typical High $13,489.63 | Facility | 50 · Both sides | $4,677.35 | $7,079.46 | $13,489.63 |
Where Washington sits
The same service costs 4.8 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· 43rd of 51
$457
AK $1,549UT $324
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.