How much rates vary
Facilitymedian $2,239 · 10th to 90th $891 to $13,183Professionalmedian $661 · 10th to 90th $95 to $1,318
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 $851.14 Median $11,220.18 Typical High $21,877.62 | Facility | None | $851.14 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $912.01 | Professional | None | $630.96 | $851.14 | $912.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $13,489.63 | Facility | None | $446.68 | $1,621.81 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $977.24 Median $5,128.61 Typical High $5,248.07 | Professional | None | $977.24 | $5,128.61 | $5,248.07 |
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 $645.65 Median $724.44 Typical High $1,513.56 | Professional | None | $645.65 | $724.44 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $1,288.25 Typical High $3,311.31 | Professional | None | $588.84 | $1,288.25 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $602.56 Typical High $1,230.27 | Professional | None | $91.20 | $602.56 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,258.93 | Facility | None | $870.96 | $1,174.90 | $1,258.93 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
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 $977.24 Median $977.24 Typical High $1,445.44 | Professional | None | $977.24 | $977.24 | $1,445.44 |
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 $707.95 Median $870.96 Typical High $1,621.81 | Professional | None | $707.95 | $870.96 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,230.27 | Professional | None | $588.84 | $794.33 | $1,230.27 |
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 $331.13 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $331.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $100.00 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $588.84 | $588.84 |
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 5.9 times more in Alaska 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
$676
AK $2,512TX $427
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.