How much rates vary
Facilitymedian $2,239 · 10th to 90th $832 to $13,183Professionalmedian $479 · 10th to 90th $72 to $891
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 $758.58 Median $11,220.18 Typical High $21,877.62 | Facility | None | $758.58 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $616.60 | Professional | None | $398.11 | $562.34 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $363.08 Median $1,778.28 Typical High $13,489.63 | Facility | None | $363.08 | $1,778.28 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $3,467.37 Typical High $4,677.35 | Professional | None | $660.69 | $3,467.37 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $4,265.80 | Facility | None | $891.25 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $1,023.29 | Professional | None | $446.68 | $489.78 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $891.25 Typical High $3,311.31 | Professional | None | $389.05 | $891.25 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $436.52 Typical High $831.76 | Professional | None | $63.10 | $436.52 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $831.76 | Facility | None | $537.03 | $758.58 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $2,884.03 | Facility | None | $1,174.90 | $1,778.28 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $10,000.00 Typical High $19,054.61 | Facility | None | $7,244.36 | $10,000.00 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $954.99 | Professional | None | $660.69 | $660.69 | $954.99 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $14,125.38 | Facility | None | $1,513.56 | $2,570.40 | $14,125.38 |
United Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $1,071.52 | Professional | None | $467.74 | $588.84 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $812.83 | Professional | None | $398.11 | $537.03 | $812.83 |
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 $218.78 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $218.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $43.65 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $309.03 | $389.05 | $389.05 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,964.78 Median $15,135.61 Typical High $28,840.32 | Facility | 50 · Both sides | $10,964.78 | $15,135.61 | $28,840.32 |
Where Washington sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 33rd of 51
$479
AK $1,660UT $295
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.