How much rates vary
Facilitymedian $2,239 · 10th to 90th $794 to $12,023Professionalmedian $1,778 · 10th to 90th $209 to $3,467
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 $794.33 Median $9,549.93 Typical High $21,877.62 | Facility | None | $794.33 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $1,000.00 Typical High $2,238.72 | Professional | None | $426.58 | $1,000.00 | $2,238.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $1,513.56 Typical High $12,302.69 | Facility | None | $288.40 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $467.74 Median $3,019.95 Typical High $13,803.84 | Professional | None | $467.74 | $3,019.95 | $13,803.84 |
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 $389.05 Median $1,047.13 Typical High $3,311.31 | Professional | None | $389.05 | $1,047.13 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $2,290.87 Typical High $3,801.89 | Professional | None | $616.60 | $2,290.87 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $1,819.70 Typical High $3,311.31 | Professional | None | $199.53 | $1,819.70 | $3,311.31 |
Pacific Source Setting Facility Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $2,884.03 | Facility | None | $1,621.81 | $2,344.23 | $2,884.03 |
Premera BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,698.24 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $1,949.84 | Professional | None | $457.09 | $457.09 | $1,949.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,165.95 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,165.95 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $1,023.29 Typical High $3,467.37 | Professional | None | $457.09 | $1,023.29 | $3,467.37 |
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 $426.58 Median $1,479.11 Typical High $3,801.89 | Professional | None | $426.58 | $1,479.11 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $2,344.23 | Professional | None | $426.58 | $645.65 | $2,344.23 |
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 $213.80 Median $489.78 Typical High $1,122.02 | Professional | 52 · Reduced service | $213.80 | $489.78 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $199.53 Typical High $446.68 | Professional | 53 · Discontinued | $85.11 | $199.53 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $741.31 Typical High $1,659.59 | Professional | 54 · Surgery only | $316.23 | $741.31 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $147.91 Typical High $338.84 | Professional | 55 · Aftercare only | $64.57 | $147.91 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $100.00 Typical High $223.87 | Professional | 56 · Pre-op care only | $42.66 | $100.00 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $691.83 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $295.12 | $691.83 | $1,548.82 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,302.68 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,302.68 |
Where Washington sits
The same service costs 5.8 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· 11th of 51
$1,862
AK $3,548NE $617
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.