How much rates vary
Facilitymedian $1,862 · 10th to 90th $562 to $12,303Professionalmedian $603 · 10th to 90th $65 to $1,148
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 $660.69 Median $6,165.95 Typical High $20,892.96 | Facility | None | $660.69 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $831.76 | Professional | None | $660.69 | $660.69 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $13,489.63 | Facility | None | $338.84 | $870.96 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $7,585.78 | Professional | None | $676.08 | $1,258.93 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $4,073.80 | Facility | None | $467.74 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,445.44 | Professional | None | $602.56 | $660.69 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,630.78 | Professional | None | $758.58 | $1,258.93 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $562.34 Typical High $1,071.52 | Professional | None | $63.10 | $562.34 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,000.00 | Facility | None | $691.83 | $933.25 | $1,000.00 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
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 $676.08 Median $977.24 Typical High $1,380.38 | Professional | None | $676.08 | $977.24 | $1,380.38 |
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 $616.60 Median $851.14 Typical High $1,548.82 | Professional | None | $616.60 | $851.14 | $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 $331.13 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $331.13 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $131.83 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $537.03 | Professional | 54 · Surgery only | $501.19 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $501.19 |
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 5.5 times more in Alaska 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· 41st of 51
$631
AK $2,042UT $372
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.