How much rates vary
Facilitymedian $1,905 · 10th to 90th $676 to $12,023Professionalmedian $324 · 10th to 90th $59 to $724
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 $398.11 Median $11,220.18 Typical High $21,877.62 | Facility | None | $398.11 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $489.78 | Professional | None | $295.12 | $398.11 | $489.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $223.87 Median $1,513.56 Typical High $12,022.64 | Facility | None | $223.87 | $1,513.56 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $467.74 Median $2,398.83 Typical High $2,570.40 | Professional | None | $467.74 | $2,398.83 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,265.80 | Facility | None | $707.95 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $977.24 | Professional | None | $354.81 | $398.11 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $851.14 Typical High $3,630.78 | Professional | None | $436.52 | $851.14 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $281.84 Typical High $691.83 | Professional | None | $57.54 | $281.84 | $691.83 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $660.69 | Facility | None | $446.68 | $588.84 | $660.69 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
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 $467.74 Median $660.69 Typical High $933.25 | Professional | None | $467.74 | $660.69 | $933.25 |
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 $389.05 Median $549.54 Typical High $1,047.13 | Professional | None | $389.05 | $549.54 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $630.96 | Professional | None | $407.38 | $426.58 | $630.96 |
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 $194.98 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $275.42 | $281.84 | $281.84 |
Where Washington sits
The same service costs 11.2 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· 46th of 51
$347
OK $2,512UT $224
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.