How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,000 to $24,547Professionalmedian $776 · 10th to 90th $95 to $1,862
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 $1,348.96 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,348.96 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,348.96 | $1,348.96 | $1,479.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $741.31 Median $19,054.61 Typical High $39,810.72 | Facility | None | $741.31 | $19,054.61 | $39,810.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,445.44 Median $7,762.47 Typical High $8,511.38 | Professional | None | $1,445.44 | $7,762.47 | $8,511.38 |
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 $1,047.13 Median $1,258.93 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,258.93 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $7,079.46 | Professional | None | $1,174.90 | $2,884.03 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $676.08 Typical High $1,737.80 | Professional | None | $89.13 | $676.08 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,089.30 | Facility | None | $1,698.24 | $2,041.74 | $2,089.30 |
Premera BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $6,025.60 | Facility | None | $2,089.30 | $3,548.13 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
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 $1,445.44 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,445.44 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,479.11 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,041.74 | Professional | None | $977.24 | $1,318.26 | $2,041.74 |
5 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 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
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 7.6 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· 49th of 51
$794
AK $4,266TX $562
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.