How much rates vary
Facilitymedian $4,467 · 10th to 90th $741 to $20,893Professionalmedian $759 · 10th to 90th $81 to $1,288
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 $741.31 Median $7,943.28 Typical High $27,542.29 | Facility | None | $741.31 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $776.25 | Professional | None | $741.31 | $741.31 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $14,791.08 Typical High $30,199.52 | Facility | None | $407.38 | $14,791.08 | $30,199.52 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $7,413.10 | Professional | None | $812.83 | $1,513.56 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,073.80 Typical High $7,585.78 | Facility | None | $707.95 | $4,073.80 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,621.81 | Professional | None | $707.95 | $794.33 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $6,760.83 | Professional | None | $1,047.13 | $1,584.89 | $6,760.83 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $707.95 Typical High $1,230.27 | Professional | None | $79.43 | $707.95 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,202.26 | Facility | None | $707.95 | $1,096.48 | $1,202.26 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,454.71 Typical High $3,890.45 | Facility | None | $794.33 | $2,454.71 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,715.19 Median $16,218.10 Typical High $30,199.52 | Facility | None | $10,715.19 | $16,218.10 | $30,199.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,659.59 | Professional | None | $812.83 | $1,148.15 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $21,877.62 | Facility | None | $2,691.53 | $4,677.35 | $21,877.62 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,819.70 | Professional | None | $758.58 | $1,023.29 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,071.52 | Professional | None | $724.44 | $758.58 | $1,071.52 |
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 $371.54 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 54 · Surgery only | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $537.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,848.93 Median $23,988.33 Typical High $45,708.82 | Facility | 50 · Both sides | $15,848.93 | $23,988.33 | $45,708.82 |
Where Washington sits
The same service costs 5.6 times more in Wisconsin than in Montana. 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 $10,313MT $1,845
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.