How much rates vary
Facilitymedian $2,138 · 10th to 90th $741 to $12,023Professionalmedian $501 · 10th to 90th $81 to $1,096
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 $676.08 Median $9,549.93 Typical High $21,877.62 | Facility | None | $676.08 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $812.83 | Professional | None | $537.03 | $676.08 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $1,513.56 Typical High $12,302.69 | Facility | None | $380.19 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $4,365.16 | Professional | None | $724.44 | $1,096.48 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,238.72 Typical High $4,073.80 | Facility | None | $707.95 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $1,174.90 | Professional | None | $524.81 | $630.96 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $1,479.11 Typical High $3,162.28 | Professional | None | $602.56 | $1,479.11 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $426.58 Typical High $977.24 | Professional | None | $72.44 | $426.58 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,071.52 | Facility | None | $758.58 | $1,000.00 | $1,071.52 |
Premera BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,071.52 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,202.26 | Professional | None | $724.44 | $724.44 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,479.11 | Professional | None | $602.56 | $741.31 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,071.52 | Professional | None | $512.86 | $691.83 | $1,071.52 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 4.5 times more in Connecticut than in Montana. 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.
Physician feeFacility fee
CT $7,632MT $1,703
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.