How much rates vary
Facilitymedian $3,388 · 10th to 90th $977 to $20,417Professionalmedian $871 · 10th to 90th $129 to $2,512
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 $1,479.11 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,621.81 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $794.33 Median $1,621.81 Typical High $22,387.21 | Facility | None | $794.33 | $1,621.81 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,621.81 Median $8,317.64 Typical High $8,912.51 | Professional | None | $1,621.81 | $8,317.64 | $8,912.51 |
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 $1,445.44 Median $1,584.89 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,584.89 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $6,309.57 | Professional | None | $2,041.74 | $3,090.30 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $741.31 Typical High $2,398.83 | Professional | None | $123.03 | $741.31 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $2,818.38 | Facility | None | $1,905.46 | $2,187.76 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,584.89 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $1,621.81 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,621.81 | $2,344.23 | $3,235.94 |
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 $1,380.38 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,380.38 | $1,995.26 | $3,630.78 |
Wellpoint Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $2,238.72 | Professional | None | $1,445.44 | $1,513.56 | $2,238.72 |
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 $812.83 Median $812.83 Typical High $891.25 | Professional | 52 · Reduced service | $812.83 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | 53 · Discontinued | $331.13 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,230.27 |
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 6.8 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
$933
AK $4,786TX $708
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.