How much rates vary
Facilitymedian $2,455 · 10th to 90th $813 to $13,183Professionalmedian $871 · 10th to 90th $105 to $1,698
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 $977.24 Median $8,912.51 Typical High $21,877.62 | Facility | None | $977.24 | $8,912.51 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,258.93 | Professional | None | $776.25 | $977.24 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $1,513.56 Typical High $13,489.63 | Facility | None | $512.86 | $1,513.56 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,023.29 Median $5,623.41 Typical High $5,754.40 | Professional | None | $1,023.29 | $5,623.41 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,265.80 | Facility | None | $707.95 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $2,137.96 | Professional | None | $891.25 | $1,000.00 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,148.15 | $1,862.09 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $794.33 Typical High $1,659.59 | Professional | None | $102.33 | $794.33 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,122.02 | $1,412.54 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,778.28 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,762.47 Median $10,232.93 Typical High $19,498.45 | Facility | None | $7,762.47 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,023.29 | $1,479.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $13,803.84 | Facility | None | $2,089.30 | $3,548.13 | $13,803.84 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,344.23 | Professional | None | $933.25 | $1,288.25 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,380.38 | Professional | None | $912.01 | $954.99 | $1,380.38 |
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 $489.78 Median $489.78 Typical High $524.81 | Professional | 52 · Reduced service | $489.78 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | 53 · Discontinued | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $794.33 | Professional | 54 · Surgery only | $741.31 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $741.31 |
Where Washington sits
The same service costs 7.9 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· 42nd of 51
$891
OK $4,169UT $525
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.