How much rates vary
Facilitymedian $3,802 · 10th to 90th $977 to $20,417Professionalmedian $575 · 10th to 90th $81 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 $575.44 Median $13,803.84 Typical High $23,988.33 | Facility | None | $575.44 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Professional | None | $575.44 | $575.44 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $295.12 Median $2,818.38 Typical High $21,877.62 | Facility | None | $295.12 | $2,818.38 | $21,877.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $588.84 Median $3,162.28 Typical High $3,388.44 | Professional | None | $588.84 | $3,162.28 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $4,073.80 Typical High $7,413.10 | Facility | None | $1,862.09 | $4,073.80 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $1,230.27 | Professional | None | $512.86 | $562.34 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $6,309.57 | Professional | None | $645.65 | $1,096.48 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $549.54 Typical High $1,000.00 | Professional | None | $79.43 | $549.54 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $870.96 | Facility | None | $602.56 | $831.76 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,778.28 | $2,818.38 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,220.18 Median $16,982.44 Typical High $31,622.78 | Facility | None | $11,220.18 | $16,982.44 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,202.26 | Professional | None | $588.84 | $851.14 | $1,202.26 |
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 $524.81 Median $724.44 Typical High $1,348.96 | Professional | None | $524.81 | $724.44 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $831.76 | Professional | None | $537.03 | $562.34 | $831.76 |
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 $281.84 Median $281.84 Typical High $302.00 | Professional | 52 · Reduced service | $281.84 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 53 · Discontinued | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | 54 · Surgery only | $426.58 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $91.20 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $426.58 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,595.87 Median $25,118.86 Typical High $47,863.01 | Facility | 50 · Both sides | $16,595.87 | $25,118.86 | $47,863.01 |
Where Washington sits
The same service costs 9.5 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
$589
OK $3,236UT $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.