How much rates vary
Facilitymedian $2,138 · 10th to 90th $832 to $12,303Professionalmedian $646 · 10th to 90th $93 to $1,514
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 $1,071.52 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,071.52 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,513.56 | Professional | None | $794.33 | $1,071.52 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $1,148.15 Typical High $12,302.69 | Facility | None | $588.84 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $7,762.47 | Professional | None | $1,148.15 | $1,698.24 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $3,890.45 | Facility | None | $707.95 | $2,137.96 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,862.09 | Professional | None | $851.14 | $1,000.00 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,949.84 Typical High $3,162.28 | Professional | None | $933.25 | $1,949.84 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $562.34 Typical High $1,445.44 | Professional | None | $85.11 | $562.34 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $1,698.24 | Facility | None | $977.24 | $1,584.89 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,122.02 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $1,148.15 Median $1,148.15 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,148.15 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,691.53 | $12,882.50 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $2,344.23 | Professional | None | $977.24 | $1,202.26 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,621.81 | Professional | None | $794.33 | $1,071.52 | $1,621.81 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
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 3.2 times more in Wisconsin than in Maryland. 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
WI $8,354MD $2,629
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.