How much rates vary
Facilitymedian $1,950 · 10th to 90th $708 to $13,183Professionalmedian $513 · 10th to 90th $65 to $933
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 $707.95 Median $11,220.18 Typical High $21,877.62 | Facility | None | $707.95 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $812.83 | Professional | None | $549.54 | $549.54 | $812.83 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $281.84 Median $1,513.56 Typical High $13,489.63 | Facility | None | $281.84 | $1,513.56 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $549.54 Median $1,047.13 Typical High $3,467.37 | Professional | None | $549.54 | $1,047.13 | $3,467.37 |
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 $489.78 Median $537.03 Typical High $1,174.90 | Professional | None | $489.78 | $537.03 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $3,630.78 | Professional | None | $616.60 | $1,023.29 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $467.74 Typical High $912.01 | Professional | None | $63.10 | $467.74 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $575.44 Median $776.25 Typical High $831.76 | Facility | None | $575.44 | $776.25 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $2,884.03 | Facility | None | $794.33 | $1,584.89 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $10,000.00 Typical High $19,498.45 | Facility | None | $6,760.83 | $10,000.00 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $1,148.15 | Professional | None | $549.54 | $812.83 | $1,148.15 |
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 $501.19 Median $691.83 Typical High $1,288.25 | Professional | None | $501.19 | $691.83 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $794.33 | Professional | None | $512.86 | $537.03 | $794.33 |
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 $269.15 Median $269.15 Typical High $288.40 | Professional | 52 · Reduced service | $269.15 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | 53 · Discontinued | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | 54 · Surgery only | $407.38 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $407.38 |
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 6.0 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· 37th of 51
$537
OK $1,862UT $309
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.