How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,000 to $40,738Professionalmedian $977 · 10th to 90th $186 to $2,344
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 $1,659.59 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,659.59 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,659.59 | $1,659.59 | $1,819.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $831.76 Median $1,621.81 Typical High $51,286.14 | Facility | None | $831.76 | $1,621.81 | $51,286.14 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,778.28 Median $9,332.54 Typical High $10,471.29 | Professional | None | $1,778.28 | $9,332.54 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $11,220.18 Typical High $20,892.96 | Facility | None | $891.25 | $11,220.18 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,258.93 | $1,513.56 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $3,548.13 Typical High $16,982.44 | Professional | None | $1,412.54 | $3,548.13 | $16,982.44 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $851.14 Typical High $2,187.76 | Professional | None | $169.82 | $851.14 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $2,630.27 | Facility | None | $1,778.28 | $2,398.83 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $9,332.54 Typical High $15,488.17 | Facility | None | $1,737.80 | $9,332.54 | $15,488.17 |
Premera BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $26,915.35 Median $38,018.94 Typical High $72,443.60 | Facility | None | $26,915.35 | $38,018.94 | $72,443.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,951.21 | Professional | None | $1,778.28 | $1,778.28 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $50,118.72 | Facility | None | $2,691.53 | $4,677.35 | $50,118.72 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,445.44 | $1,819.70 | $3,548.13 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,621.81 | $2,511.89 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,174.90 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $40,738.03 Median $57,543.99 Typical High $109,647.82 | Facility | 50 · Both sides | $40,738.03 | $57,543.99 | $109,647.82 |
Where Washington sits
The same service costs 7.4 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
$1,000
AK $5,248TX $708
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.