How much rates vary
Facilitymedian $1,479 · 10th to 90th $676 to $6,166Professionalmedian $501 · 10th to 90th $95 to $1,230
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 $691.83 Median $6,165.95 Typical High $20,892.96 | Facility | None | $691.83 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $812.83 | Professional | None | $457.09 | $707.95 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $269.15 Median $1,148.15 Typical High $6,165.95 | Facility | None | $269.15 | $1,148.15 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $1,023.29 Typical High $5,495.41 | Professional | None | $478.63 | $1,023.29 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,584.89 Typical High $2,884.03 | Facility | None | $630.96 | $1,584.89 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $1,047.13 | Professional | None | $407.38 | $630.96 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $977.24 Typical High $2,137.96 | Professional | None | $416.87 | $977.24 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $446.68 Typical High $1,174.90 | Professional | None | $85.11 | $446.68 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,202.26 | Facility | None | $676.08 | $1,096.48 | $1,202.26 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,737.80 | Facility | None | $741.31 | $1,023.29 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $812.83 | Professional | None | $501.19 | $501.19 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,630.78 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $1,202.26 | Professional | None | $478.63 | $812.83 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $6,309.57 | Facility | None | $1,202.26 | $1,949.84 | $6,309.57 |
United Setting Professional Modifier None Typical Low $426.58 Median $741.31 Typical High $1,318.26 | Professional | None | $426.58 | $741.31 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $933.25 | Professional | None | $363.08 | $660.69 | $933.25 |
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 $229.09 Median $263.03 Typical High $407.38 | Professional | 52 · Reduced service | $229.09 | $263.03 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $107.15 Typical High $162.18 | Professional | 53 · Discontinued | $93.33 | $107.15 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $398.11 Typical High $616.60 | Professional | 54 · Surgery only | $346.74 | $398.11 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $79.43 Typical High $123.03 | Professional | 55 · Aftercare only | $69.18 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $52.48 Typical High $81.28 | Professional | 56 · Pre-op care only | $45.71 | $52.48 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $371.54 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $323.59 | $371.54 | $575.44 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,495.41 Median $7,244.36 Typical High $13,489.63 | Facility | 50 · Both sides | $5,495.41 | $7,244.36 | $13,489.63 |
Where Washington sits
The same service costs 4.7 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· 40th of 51
$501
AK $1,660TX $355
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.