How much rates vary
Facilitymedian $1,862 · 10th to 90th $631 to $11,220Professionalmedian $501 · 10th to 90th $87 to $1,000
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 $537.03 Median $6,456.54 Typical High $20,892.96 | Facility | None | $537.03 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $1,148.15 Typical High $12,022.64 | Facility | None | $309.03 | $1,148.15 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $630.96 Median $3,311.31 Typical High $3,548.13 | Professional | None | $630.96 | $3,311.31 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $4,073.80 | Facility | None | $630.96 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $1,318.26 | Professional | None | $501.19 | $562.34 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $1,148.15 Typical High $3,630.78 | Professional | None | $602.56 | $1,148.15 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $457.09 Typical High $954.99 | Professional | None | $83.18 | $457.09 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $891.25 | Facility | None | $588.84 | $812.83 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,548.82 Typical High $2,818.38 | Facility | None | $758.58 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $9,120.11 Typical High $17,378.01 | Facility | None | $6,025.60 | $9,120.11 | $17,378.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,258.93 | Professional | None | $630.96 | $912.01 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,589.25 | Facility | None | $1,202.26 | $1,949.84 | $12,589.25 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,412.54 | Professional | None | $549.54 | $758.58 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $851.14 | Professional | None | $549.54 | $575.44 | $851.14 |
6 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 $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $380.19 |
Where Washington sits
The same service costs 8.9 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· 43rd of 51
$513
OK $2,754UT $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.