How much rates vary
Facilitymedian $2,951 · 10th to 90th $676 to $23,442Professionalmedian $234 · 10th to 90th $43 to $646
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 $457.09 Median $9,549.93 Typical High $21,877.62 | Facility | None | $457.09 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $457.09 | Professional | None | $234.42 | $346.74 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $131.83 Median $1,318.26 Typical High $27,542.29 | Facility | None | $131.83 | $1,318.26 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $3,235.94 | Professional | None | $245.47 | $524.81 | $3,235.94 |
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 $218.78 Median $354.81 Typical High $588.84 | Professional | None | $218.78 | $354.81 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $575.44 Typical High $8,317.64 | Professional | None | $245.47 | $575.44 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $154.88 Typical High $602.56 | Professional | None | $38.02 | $154.88 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $676.08 | Facility | None | $512.86 | $645.65 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $6,025.60 | Facility | None | $954.99 | $3,467.37 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $457.09 | Professional | None | $251.19 | $251.19 | $457.09 |
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 $245.47 Median $446.68 Typical High $660.69 | Professional | None | $245.47 | $446.68 | $660.69 |
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 $234.42 Median $416.87 Typical High $724.44 | Professional | None | $234.42 | $416.87 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $338.84 Typical High $467.74 | Professional | None | $177.83 | $338.84 | $467.74 |
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 $117.49 Median $158.49 Typical High $229.09 | Professional | 52 · Reduced service | $117.49 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $63.10 Typical High $91.20 | Professional | 53 · Discontinued | $46.77 | $63.10 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $239.88 Typical High $338.84 | Professional | 54 · Surgery only | $173.78 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $47.86 Typical High $69.18 | Professional | 55 · Aftercare only | $34.67 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $31.62 Typical High $45.71 | Professional | 56 · Pre-op care only | $23.44 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $223.87 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $162.18 | $223.87 | $316.23 |
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 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· 45th of 51
$245
AK $977TX $191
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.