How much rates vary
Facilitymedian $1,905 · 10th to 90th $851 to $13,183Professionalmedian $562 · 10th to 90th $65 to $1,047
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 $602.56 Median $7,943.28 Typical High $21,877.62 | Facility | None | $602.56 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $912.01 | Professional | None | $446.68 | $602.56 | $912.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $316.23 Median $1,621.81 Typical High $13,489.63 | Facility | None | $316.23 | $1,621.81 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $3,981.07 | Professional | None | $616.60 | $1,148.15 | $3,981.07 |
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 $549.54 Median $602.56 Typical High $1,288.25 | Professional | None | $549.54 | $602.56 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $3,630.78 | Professional | None | $691.83 | $1,148.15 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $512.86 Typical High $1,000.00 | Professional | None | $63.10 | $512.86 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $912.01 | Facility | None | $724.44 | $870.96 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,659.59 Typical High $2,884.03 | Facility | None | $851.14 | $1,659.59 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $10,232.93 Typical High $19,498.45 | Facility | None | $6,760.83 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,258.93 | Professional | None | $616.60 | $891.25 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $13,803.84 | Facility | None | $1,202.26 | $1,949.84 | $13,803.84 |
United Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,412.54 | Professional | None | $562.34 | $776.25 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $870.96 | Professional | None | $562.34 | $588.84 | $870.96 |
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 $302.00 Median $302.00 Typical High $323.59 | Professional | 52 · Reduced service | $302.00 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | 53 · Discontinued | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $478.63 | Professional | 54 · Surgery only | $446.68 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $446.68 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,232.93 Median $15,135.61 Typical High $28,840.32 | Facility | 50 · Both sides | $10,232.93 | $15,135.61 | $28,840.32 |
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· 42nd of 51
$589
OK $2,951UT $339
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.