How much rates vary
Facilitymedian $3,388 · 10th to 90th $955 to $20,417Professionalmedian $617 · 10th to 90th $93 to $1,738
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 $1,174.90 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,174.90 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,174.90 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $562.34 Median $1,621.81 Typical High $22,387.21 | Facility | None | $562.34 | $1,621.81 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,148.15 Median $6,025.60 Typical High $6,456.54 | Professional | None | $1,148.15 | $6,025.60 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,801.89 Typical High $7,244.36 | Facility | None | $891.25 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,398.83 | Professional | None | $912.01 | $1,000.00 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $6,309.57 | Professional | None | $1,096.48 | $2,137.96 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $524.81 Typical High $1,659.59 | Professional | None | $87.10 | $524.81 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $1,659.59 | Facility | None | $1,148.15 | $1,513.56 | $1,659.59 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,548.82 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,148.15 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,659.59 | $2,290.87 |
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 $954.99 Median $1,348.96 Typical High $2,570.40 | Professional | None | $954.99 | $1,348.96 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,621.81 | Professional | None | $1,023.29 | $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 $588.84 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $588.84 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | 54 · Surgery only | $870.96 | $870.96 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $891.25 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $25,703.96 Typical High $48,977.88 | Facility | 50 · Both sides | $16,982.44 | $25,703.96 | $48,977.88 |
Where Washington sits
The same service costs 7.4 times more in Oklahoma 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
$676
OK $3,890TX $525
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.