How much rates vary
Facilitymedian $1,905 · 10th to 90th $832 to $12,023Professionalmedian $355 · 10th to 90th $50 to $776
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 $562.34 Median $9,549.93 Typical High $21,877.62 | Facility | None | $562.34 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $575.44 | Professional | None | $354.81 | $426.58 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $199.53 Median $1,621.81 Typical High $12,302.69 | Facility | None | $199.53 | $1,621.81 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $380.19 Median $741.31 Typical High $3,548.13 | Professional | None | $380.19 | $741.31 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,238.72 Typical High $4,073.80 | Facility | None | $891.25 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $794.33 | Professional | None | $346.74 | $512.86 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $776.25 Typical High $2,951.21 | Professional | None | $363.08 | $776.25 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $281.84 Typical High $724.44 | Professional | None | $46.77 | $281.84 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $912.01 | Facility | None | $630.96 | $812.83 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $2,691.53 | Facility | None | $851.14 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $575.44 | Professional | None | $389.05 | $389.05 | $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 $380.19 Median $575.44 Typical High $851.14 | Professional | None | $380.19 | $575.44 | $851.14 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $954.99 | Professional | None | $354.81 | $549.54 | $954.99 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $602.56 | Professional | None | $269.15 | $426.58 | $602.56 |
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 $177.83 Median $208.93 Typical High $281.84 | Professional | 52 · Reduced service | $177.83 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $83.18 Typical High $112.20 | Professional | 53 · Discontinued | $70.79 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $309.03 Typical High $426.58 | Professional | 54 · Surgery only | $269.15 | $309.03 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $61.66 Typical High $85.11 | Professional | 55 · Aftercare only | $53.70 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $41.69 Typical High $56.23 | Professional | 56 · Pre-op care only | $35.48 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $288.40 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $251.19 | $288.40 | $398.11 |
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 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· 45th of 51
$355
AK $1,413UT $240
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.