How much rates vary
Facilitymedian $1,820 · 10th to 90th $490 to $11,220Professionalmedian $389 · 10th to 90th $76 to $813
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 $426.58 Median $6,165.95 Typical High $20,892.96 | Facility | None | $426.58 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $524.81 | Professional | None | $338.84 | $426.58 | $524.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $239.88 Median $870.96 Typical High $12,022.64 | Facility | None | $239.88 | $870.96 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $489.78 Median $2,570.40 Typical High $2,754.23 | Professional | None | $489.78 | $2,570.40 | $2,754.23 |
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 $363.08 Median $416.87 Typical High $1,047.13 | Professional | None | $363.08 | $416.87 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $891.25 Typical High $3,630.78 | Professional | None | $467.74 | $891.25 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $363.08 Typical High $776.25 | Professional | None | $74.13 | $363.08 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $691.83 | Facility | None | $371.54 | $602.56 | $691.83 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $2,818.38 | Facility | None | $741.31 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
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 $489.78 Median $707.95 Typical High $977.24 | Professional | None | $489.78 | $707.95 | $977.24 |
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 $398.11 Median $575.44 Typical High $1,096.48 | Professional | None | $398.11 | $575.44 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $676.08 | Professional | None | $436.52 | $457.09 | $676.08 |
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 $208.93 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $309.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $288.40 | $295.12 | $295.12 |
Where Washington sits
The same service costs 8.5 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· 40th of 51
$407
OK $2,138UT $251
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.