How much rates vary
Facilitymedian $2,818 · 10th to 90th $708 to $23,442Professionalmedian $324 · 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 $501.19 Median $11,220.18 Typical High $21,877.62 | Facility | None | $501.19 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | None | $501.19 | $501.19 | $549.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $1,513.56 Typical High $27,542.29 | Facility | None | $288.40 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $524.81 Median $3,388.44 Typical High $3,801.89 | Professional | None | $524.81 | $3,388.44 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $8,709.64 | Facility | None | $707.95 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $891.25 | Professional | None | $398.11 | $478.63 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $1,096.48 Typical High $7,079.46 | Professional | None | $446.68 | $1,096.48 | $7,079.46 |
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 $549.54 Median $758.58 Typical High $794.33 | Facility | None | $549.54 | $758.58 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $3,162.28 Typical High $6,025.60 | Facility | None | $870.96 | $3,162.28 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
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 $524.81 Median $524.81 Typical High $891.25 | Professional | None | $524.81 | $524.81 | $891.25 |
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 $436.52 Median $549.54 Typical High $1,096.48 | Professional | None | $436.52 | $549.54 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $831.76 | Professional | None | $389.05 | $524.81 | $831.76 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $354.81 |
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 7.2 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
$331
AK $1,622TX $224
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.