How much rates vary
Facilitymedian $2,951 · 10th to 90th $891 to $23,442Professionalmedian $676 · 10th to 90th $135 to $1,585
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 $812.83 Median $9,549.93 Typical High $21,877.62 | Facility | None | $812.83 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $812.83 | Professional | None | $524.81 | $758.58 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $1,621.81 Typical High $27,542.29 | Facility | None | $371.54 | $1,621.81 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $707.95 Median $1,380.38 Typical High $7,413.10 | Professional | None | $707.95 | $1,380.38 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,677.35 Typical High $8,709.64 | Facility | None | $891.25 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,445.44 | Professional | None | $537.03 | $794.33 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $1,288.25 Typical High $6,606.93 | Professional | None | $575.44 | $1,288.25 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $575.44 Typical High $1,548.82 | Professional | None | $128.82 | $575.44 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,548.82 | Facility | None | $831.76 | $1,288.25 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $3,162.28 Typical High $6,025.60 | Facility | None | $912.01 | $3,162.28 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,071.52 | Professional | None | $724.44 | $724.44 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,584.89 | Professional | None | $707.95 | $1,071.52 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $28,183.83 | Facility | None | $1,202.26 | $1,949.84 | $28,183.83 |
United Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $1,698.24 | Professional | None | $537.03 | $831.76 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,230.27 | Professional | None | $501.19 | $870.96 | $1,230.27 |
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 $263.03 Median $354.81 Typical High $407.38 | Professional | 52 · Reduced service | $263.03 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $141.25 Typical High $162.18 | Professional | 53 · Discontinued | $104.71 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $524.81 Typical High $616.60 | Professional | 54 · Surgery only | $398.11 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $107.15 Typical High $123.03 | Professional | 55 · Aftercare only | $79.43 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $70.79 Typical High $81.28 | Professional | 56 · Pre-op care only | $52.48 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $489.78 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $371.54 | $489.78 | $575.44 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $20,892.96 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $20,892.96 | $31,622.78 | $58,884.37 |
Where Washington sits
The same service costs 5.1 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $9,382MT $1,832
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.