How much rates vary
Facilitymedian $5,370 · 10th to 90th $871 to $26,915Professionalmedian $813 · 10th to 90th $95 to $1,950
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 $1,412.54 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,412.54 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $776.25 Median $19,054.61 Typical High $39,810.72 | Facility | None | $776.25 | $19,054.61 | $39,810.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,513.56 Median $7,943.28 Typical High $8,912.51 | Professional | None | $1,513.56 | $7,943.28 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,888.44 Typical High $11,220.18 | Facility | None | $707.95 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,288.25 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $2,884.03 Typical High $8,912.51 | Professional | None | $1,202.26 | $2,884.03 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $707.95 Typical High $1,862.09 | Professional | None | $89.13 | $707.95 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,513.56 | $1,819.70 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $3,019.95 Typical High $4,786.30 | Facility | None | $1,479.11 | $3,019.95 | $4,786.30 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,513.56 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,202.26 | $1,548.82 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,380.38 | $2,137.96 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
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 13.8 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
$832
AK $4,467TX $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.