How much rates vary
Facilitymedian $3,090 · 10th to 90th $832 to $18,197Professionalmedian $813 · 10th to 90th $105 to $1,622
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 $933.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $933.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,202.26 | Professional | None | $812.83 | $933.25 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $489.78 Median $1,513.56 Typical High $19,952.62 | Facility | None | $489.78 | $1,513.56 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $6,918.31 | Professional | None | $977.24 | $1,819.70 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,467.37 Typical High $6,456.54 | Facility | None | $707.95 | $3,467.37 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $2,041.74 | Professional | None | $851.14 | $954.99 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $5,754.40 | Professional | None | $1,096.48 | $1,819.70 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $758.58 Typical High $1,584.89 | Professional | None | $102.33 | $758.58 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $1,412.54 | Facility | None | $831.76 | $1,380.38 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $4,466.84 | Facility | None | $1,258.93 | $2,454.71 | $4,466.84 |
Premera BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,000.00 Median $15,135.61 Typical High $28,840.32 | Facility | None | $10,000.00 | $15,135.61 | $28,840.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,995.26 | Professional | None | $977.24 | $1,412.54 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $20,892.96 | Facility | None | $2,089.30 | $3,548.13 | $20,892.96 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $2,238.72 | Professional | None | $870.96 | $1,230.27 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,348.96 | Professional | None | $870.96 | $912.01 | $1,348.96 |
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 $467.74 Median $467.74 Typical High $512.86 | Professional | 52 · Reduced service | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | 53 · Discontinued | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $758.58 | Professional | 54 · Surgery only | $707.95 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $707.95 |
Where Washington sits
The same service costs 8.7 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· 43rd of 51
$832
OK $4,365UT $501
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.