How much rates vary
Facilitymedian $1,413 · 10th to 90th $550 to $7,762Professionalmedian $562 · 10th to 90th $76 to $1,023
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 $562.34 Median $6,165.95 Typical High $20,892.96 | Facility | None | $562.34 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | None | $562.34 | $562.34 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $295.12 Median $870.96 Typical High $7,943.28 | Facility | None | $295.12 | $870.96 | $7,943.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $3,090.30 Typical High $3,311.31 | Professional | None | $575.44 | $3,090.30 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,348.96 Typical High $2,398.83 | Facility | None | $467.74 | $1,348.96 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $1,202.26 | Professional | None | $501.19 | $562.34 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $2,089.30 | Professional | None | $645.65 | $1,047.13 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $524.81 Typical High $977.24 | Professional | None | $74.13 | $524.81 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $794.33 Typical High $851.14 | Facility | None | $588.84 | $794.33 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,778.28 | Facility | None | $794.33 | $1,047.13 | $1,778.28 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $5,888.44 Typical High $11,220.18 | Facility | None | $4,570.88 | $5,888.44 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,148.15 | Professional | None | $575.44 | $831.76 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $8,128.31 | Facility | None | $1,202.26 | $1,949.84 | $8,128.31 |
United Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $1,318.26 | Professional | None | $524.81 | $724.44 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $812.83 | Professional | None | $524.81 | $549.54 | $812.83 |
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 $112.20 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | 54 · Surgery only | $416.87 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $416.87 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,760.83 Median $8,912.51 Typical High $16,982.44 | Facility | 50 · Both sides | $6,760.83 | $8,912.51 | $16,982.44 |
Where Washington sits
The same service costs 5.1 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· 35th of 51
$562
AK $1,698UT $331
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.