How much rates vary
Facilitymedian $3,388 · 10th to 90th $741 to $20,417Professionalmedian $708 · 10th to 90th $105 to $1,445
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 $933.25 Median $6,456.54 Typical High $20,892.96 | Facility | None | $933.25 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,000.00 | Professional | None | $588.84 | $933.25 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $1,148.15 Typical High $22,387.21 | Facility | None | $446.68 | $1,148.15 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $7,585.78 | Professional | None | $912.01 | $1,698.24 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,801.89 Typical High $7,244.36 | Facility | None | $630.96 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,905.46 | Professional | None | $707.95 | $776.25 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,659.59 Typical High $6,309.57 | Professional | None | $851.14 | $1,659.59 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $660.69 Typical High $1,412.54 | Professional | None | $102.33 | $660.69 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $1,202.26 Typical High $1,318.26 | Facility | None | $691.83 | $1,202.26 | $1,318.26 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,513.56 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,819.70 | Professional | None | $912.01 | $1,288.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $2,041.74 | Professional | None | $758.58 | $1,071.52 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,258.93 | Professional | None | $812.83 | $851.14 | $1,258.93 |
6 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 $467.74 Median $467.74 Typical High $501.19 | Professional | 52 · Reduced service | $467.74 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | 53 · Discontinued | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | 54 · Surgery only | $691.83 | $691.83 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $691.83 |
Where Washington sits
The same service costs 8.1 times more in Oklahoma than in Utah. 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· 43rd of 51
$724
OK $3,548UT $437
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.