How much rates vary
Facilitymedian $2,239 · 10th to 90th $776 to $11,749Professionalmedian $1,514 · 10th to 90th $209 to $2,884
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 $489.78 Median $6,165.95 Typical High $20,892.96 | Facility | None | $489.78 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $1,148.15 Typical High $1,905.46 | Professional | None | $389.05 | $1,148.15 | $1,905.46 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $1,513.56 Typical High $12,302.69 | Facility | None | $331.13 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $549.54 Median $2,570.40 Typical High $11,748.98 | Professional | None | $549.54 | $2,570.40 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $3,981.07 | Facility | None | $707.95 | $2,187.76 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $1,202.26 Typical High $2,818.38 | Professional | None | $457.09 | $1,202.26 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $2,290.87 Typical High $3,388.44 | Professional | None | $724.44 | $2,290.87 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $1,513.56 Typical High $2,818.38 | Professional | None | $199.53 | $1,513.56 | $2,818.38 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $2,511.89 | Facility | None | $1,380.38 | $2,290.87 | $2,511.89 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $3,019.95 | Facility | None | $1,148.15 | $1,698.24 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,659.59 | Professional | None | $524.81 | $524.81 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,456.54 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,456.54 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $524.81 Median $1,174.90 Typical High $2,951.21 | Professional | None | $524.81 | $1,174.90 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,302.69 | Facility | None | $1,513.56 | $2,570.40 | $12,302.69 |
United Setting Professional Modifier None Typical Low $489.78 Median $1,348.96 Typical High $3,311.31 | Professional | None | $489.78 | $1,348.96 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $489.78 Median $741.31 Typical High $1,949.84 | Professional | None | $489.78 | $741.31 | $1,949.84 |
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 $245.47 Median $575.44 Typical High $954.99 | Professional | 52 · Reduced service | $245.47 | $575.44 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $229.09 Typical High $380.19 | Professional | 53 · Discontinued | $97.72 | $229.09 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $851.14 Typical High $1,412.54 | Professional | 54 · Surgery only | $371.54 | $851.14 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $169.82 Typical High $288.40 | Professional | 55 · Aftercare only | $74.13 | $169.82 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $114.82 Typical High $190.55 | Professional | 56 · Pre-op care only | $48.98 | $114.82 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $794.33 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $346.74 | $794.33 | $1,318.26 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,772.37 Median $14,125.38 Typical High $26,302.68 | Facility | 50 · Both sides | $9,772.37 | $14,125.38 | $26,302.68 |
Where Washington sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 12th of 51
$1,585
AK $3,020NE $692
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.