How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,000 to $44,668Professionalmedian $955 · 10th to 90th $138 to $2,291
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 $1,621.81 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,621.81 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,621.81 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $891.25 Median $35,481.34 Typical High $72,443.60 | Facility | None | $891.25 | $35,481.34 | $72,443.60 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,737.80 Median $9,332.54 Typical High $10,232.93 | Professional | None | $1,737.80 | $9,332.54 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $10,964.78 Typical High $19,952.62 | Facility | None | $707.95 | $10,964.78 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,288.25 | $1,513.56 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $3,467.37 Typical High $16,595.87 | Professional | None | $1,445.44 | $3,467.37 | $16,595.87 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $812.83 Typical High $2,187.76 | Professional | None | $128.82 | $812.83 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $2,570.40 | Facility | None | $1,778.28 | $2,454.71 | $2,570.40 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $9,772.37 Typical High $17,782.79 | Facility | None | $1,737.80 | $9,772.37 | $17,782.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $26,915.35 Median $38,018.94 Typical High $72,443.60 | Facility | None | $26,915.35 | $38,018.94 | $72,443.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,737.80 | $1,737.80 | $2,884.03 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $50,118.72 | Facility | None | $2,691.53 | $4,677.35 | $50,118.72 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,479.11 | $1,819.70 | $3,548.13 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,584.89 | $2,454.71 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $40,738.03 Median $57,543.99 Typical High $109,647.82 | Facility | 50 · Both sides | $40,738.03 | $57,543.99 | $109,647.82 |
Where Washington sits
The same service costs 8.1 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· 49th of 51
$977
AK $5,248TX $646
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.