How much rates vary
Facilitymedian $4,467 · 10th to 90th $871 to $20,893Professionalmedian $1,148 · 10th to 90th $68 to $1,995
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 $1,202.26 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,202.26 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,202.26 | $1,202.26 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $14,791.08 Typical High $30,199.52 | Facility | None | $676.08 | $14,791.08 | $30,199.52 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,348.96 Median $6,760.83 Typical High $7,943.28 | Professional | None | $1,348.96 | $6,760.83 | $7,943.28 |
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 $1,174.90 Median $1,288.25 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,288.25 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $6,760.83 | Professional | None | $1,737.80 | $2,630.27 | $6,760.83 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $1,047.13 Typical High $1,862.09 | Professional | None | $64.57 | $1,047.13 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,041.74 | Facility | None | $1,380.38 | $1,737.80 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $2,454.71 Typical High $3,890.45 | Facility | None | $1,318.26 | $2,454.71 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $1,348.96 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,905.46 | $2,754.23 |
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 $1,230.27 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,230.27 | $1,698.24 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,230.27 | $1,778.28 |
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 $602.56 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | 53 · Discontinued | $239.88 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $933.25 | Professional | 54 · Surgery only | $912.01 | $912.01 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $870.96 |
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 5.0 times more in Wisconsin 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· 46th of 51
$1,175
WI $4,365TX $871
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.