How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,023 to $20,417Professionalmedian $891 · 10th to 90th $83 to $1,660
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 $851.14 Median $12,302.69 Typical High $25,118.86 | Facility | None | $851.14 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $478.63 Median $1,659.59 Typical High $21,877.62 | Facility | None | $478.63 | $1,659.59 | $21,877.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $7,413.10 | Professional | None | $1,000.00 | $1,862.09 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $2,089.30 | Professional | None | $851.14 | $954.99 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $6,309.57 | Professional | None | $1,047.13 | $1,819.70 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $870.96 Typical High $1,621.81 | Professional | None | $81.28 | $870.96 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,071.52 | $1,412.54 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,698.24 | $2,818.38 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,220.18 Median $16,982.44 Typical High $31,622.78 | Facility | None | $11,220.18 | $16,982.44 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,445.44 | $2,041.74 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $23,442.29 | Facility | None | $2,691.53 | $4,677.35 | $23,442.29 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,290.87 | Professional | None | $912.01 | $1,258.93 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,318.26 | Professional | None | $870.96 | $912.01 | $1,318.26 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $630.96 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $588.84 | $602.56 | $602.56 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,595.87 Median $25,118.86 Typical High $47,863.01 | Facility | 50 · Both sides | $16,595.87 | $25,118.86 | $47,863.01 |
Where Washington sits
The same service costs 6.5 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· 39th of 51
$912
AK $3,467UT $537
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.