How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,096 to $20,893Professionalmedian $851 · 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 $1,000.00 Median $9,549.93 Typical High $23,988.33 | Facility | None | $1,000.00 | $9,549.93 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,202.26 | Professional | None | $724.44 | $1,000.00 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $15,488.17 Typical High $31,622.78 | Facility | None | $512.86 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,023.29 Median $5,495.41 Typical High $5,754.40 | Professional | None | $1,023.29 | $5,495.41 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,137.96 | Professional | None | $912.01 | $1,000.00 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $6,309.57 | Professional | None | $1,174.90 | $1,905.46 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $812.83 Typical High $1,621.81 | Professional | None | $102.33 | $812.83 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,122.02 | $1,479.11 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $5,128.61 | Facility | None | $2,137.96 | $3,162.28 | $5,128.61 |
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 $12,882.50 Median $16,982.44 Typical High $31,622.78 | Facility | None | $12,882.50 | $16,982.44 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,479.11 | $2,089.30 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $23,442.29 | Facility | None | $2,691.53 | $4,677.35 | $23,442.29 |
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 |
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 $501.19 Median $501.19 Typical High $537.03 | Professional | 52 · Reduced service | $501.19 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | 53 · Discontinued | $199.53 | $199.53 | $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 $162.18 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $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 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $19,054.61 Median $25,118.86 Typical High $47,863.01 | Facility | 50 · Both sides | $19,054.61 | $25,118.86 | $47,863.01 |
Where Washington sits
The same service costs 7.2 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 $3,890UT $537
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.