How much rates vary
Facilitymedian $3,020 · 10th to 90th $832 to $17,783Professionalmedian $741 · 10th to 90th $83 to $1,349
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 $12,302.69 Typical High $25,118.86 | Facility | None | $758.58 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | None | $691.83 | $758.58 | $758.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $398.11 Median $13,182.57 Typical High $27,542.29 | Facility | None | $398.11 | $13,182.57 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $794.33 Median $1,479.11 Typical High $5,248.07 | Professional | None | $794.33 | $1,479.11 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,884.03 Typical High $5,495.41 | Facility | None | $707.95 | $2,884.03 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,659.59 | Professional | None | $707.95 | $776.25 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,445.44 Typical High $4,570.88 | Professional | None | $851.14 | $1,445.44 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $707.95 Typical High $1,318.26 | Professional | None | $81.28 | $707.95 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,174.90 | Facility | None | $812.83 | $1,122.02 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,548.82 | $2,290.87 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,000.00 Median $14,454.40 Typical High $27,542.29 | Facility | None | $10,000.00 | $14,454.40 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,621.81 | Professional | None | $794.33 | $1,148.15 | $1,621.81 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $19,498.45 | Facility | None | $2,089.30 | $3,548.13 | $19,498.45 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,819.70 | Professional | None | $724.44 | $1,000.00 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,096.48 | Professional | None | $724.44 | $758.58 | $1,096.48 |
6 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 $371.54 Median $371.54 Typical High $380.19 | Professional | 52 · Reduced service | $371.54 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 54 · Surgery only | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $537.03 |
Where Washington sits
The same service costs 9.8 times more in Oklahoma 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· 38th of 51
$759
OK $4,365UT $447
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.