How much rates vary
Facilitymedian $1,995 · 10th to 90th $676 to $11,220Professionalmedian $417 · 10th to 90th $85 to $759
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 $338.84 Median $6,165.95 Typical High $20,892.96 | Facility | None | $338.84 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $8,317.64 Typical High $17,378.01 | Facility | None | $190.55 | $8,317.64 | $17,378.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $398.11 Median $2,089.30 Typical High $2,187.76 | Professional | None | $398.11 | $2,089.30 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $4,265.80 | Facility | None | $707.95 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $831.76 | Professional | None | $323.59 | $371.54 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $724.44 Typical High $3,630.78 | Professional | None | $389.05 | $724.44 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $416.87 Typical High $691.83 | Professional | None | $72.44 | $416.87 | $691.83 |
Pacific Source Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $575.44 | Facility | None | $407.38 | $524.81 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,548.82 Typical High $2,818.38 | Facility | None | $812.83 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $398.11 Median $575.44 Typical High $794.33 | Professional | None | $398.11 | $575.44 | $794.33 |
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 $346.74 Median $489.78 Typical High $891.25 | Professional | None | $346.74 | $489.78 | $891.25 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $524.81 | Professional | None | $346.74 | $363.08 | $524.81 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 54 · Surgery only | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $50.12 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $239.88 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $234.42 | $239.88 | $239.88 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,120.11 Median $13,803.84 Typical High $25,703.96 | Facility | 50 · Both sides | $9,120.11 | $13,803.84 | $25,703.96 |
Where Washington sits
The same service costs 6.0 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· 32nd of 51
$427
OK $1,479UT $245
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.