How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,862 to $20,893Professionalmedian $1,202 · 10th to 90th $105 to $2,399
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 $1,513.56 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,513.56 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,584.89 | Professional | None | $1,513.56 | $1,513.56 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $851.14 Median $15,488.17 Typical High $31,622.78 | Facility | None | $851.14 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $3,090.30 Typical High $12,882.50 | Professional | None | $1,659.59 | $3,090.30 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $4,365.16 Typical High $7,762.47 | Facility | None | $1,862.09 | $4,365.16 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,388.44 | Professional | None | $1,479.11 | $1,621.81 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $6,760.83 | Professional | None | $2,137.96 | $3,235.94 | $6,760.83 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $1,023.29 Typical High $2,290.87 | Professional | None | $100.00 | $1,023.29 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,454.71 | Facility | None | $1,445.44 | $2,290.87 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,890.45 | Facility | None | $1,659.59 | $2,454.71 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $1,659.59 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,659.59 | $2,398.83 | $3,388.44 |
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 $1,548.82 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,548.82 | $2,137.96 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,548.82 | $2,187.76 |
3 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 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,096.48 |
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 5.4 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· 50th of 51
$1,288
WI $5,248TX $977
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.