How much rates vary
Facilitymedian $1,023 · 10th to 90th $331 to $12,303Professionalmedian $617 · 10th to 90th $102 to $1,047
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 $416.87 Median $8,317.64 Typical High $20,417.38 | Facility | None | $416.87 | $8,317.64 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $870.96 | Professional | None | $416.87 | $691.83 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $588.84 | Professional | None | $549.54 | $549.54 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $223.87 Median $8,912.51 Typical High $18,197.01 | Facility | None | $223.87 | $8,912.51 | $18,197.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $446.68 Median $933.25 Typical High $4,570.88 | Professional | None | $446.68 | $933.25 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $660.69 Typical High $1,047.13 | Facility | None | $338.84 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,348.96 | Professional | None | $660.69 | $912.01 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $794.33 Typical High $1,548.82 | Professional | None | $363.08 | $794.33 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $562.34 Typical High $1,023.29 | Professional | None | $97.72 | $562.34 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,479.11 | Facility | None | $602.56 | $933.25 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,023.29 | Facility | None | $269.15 | $389.05 | $1,023.29 |
Premera BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $676.08 | Professional | None | $446.68 | $446.68 | $676.08 |
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 $446.68 Median $794.33 Typical High $1,202.26 | Professional | None | $446.68 | $794.33 | $1,202.26 |
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 $446.68 Median $776.25 Typical High $1,445.44 | Professional | None | $446.68 | $776.25 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $707.95 | Professional | None | $398.11 | $602.56 | $707.95 |
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 $208.93 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $208.93 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $83.18 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $309.03 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $61.66 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $41.69 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $288.40 | $478.63 | $478.63 |
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 4.3 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· 35th of 51
$631
WI $1,862TX $437
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.