How much rates vary
Facilitymedian $2,239 · 10th to 90th $891 to $13,183Professionalmedian $631 · 10th to 90th $83 to $1,175
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 $645.65 Median $11,220.18 Typical High $21,877.62 | Facility | None | $645.65 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $741.31 | Professional | None | $549.54 | $645.65 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $1,621.81 Typical High $13,489.63 | Facility | None | $338.84 | $1,621.81 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $3,890.45 Typical High $4,168.69 | Professional | None | $660.69 | $3,890.45 | $4,168.69 |
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 $588.84 Median $645.65 Typical High $1,412.54 | Professional | None | $588.84 | $645.65 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $3,630.78 | Professional | None | $741.31 | $1,258.93 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $602.56 Typical High $1,096.48 | Professional | None | $81.28 | $602.56 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $977.24 | Facility | None | $575.44 | $954.99 | $977.24 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $977.24 Typical High $1,380.38 | Professional | None | $660.69 | $977.24 | $1,380.38 |
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 $602.56 Median $831.76 Typical High $1,548.82 | Professional | None | $602.56 | $831.76 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $645.65 Typical High $933.25 | Professional | None | $616.60 | $645.65 | $933.25 |
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 $323.59 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $323.59 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | 53 · Discontinued | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $524.81 | Professional | 54 · Surgery only | $489.78 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $489.78 |
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 10.0 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· 35th of 51
$646
OK $3,631UT $363
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.