How much rates vary
Facilitymedian $1,862 · 10th to 90th $708 to $12,023Professionalmedian $468 · 10th to 90th $85 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 $416.87 Median $4,677.35 Typical High $20,892.96 | Facility | None | $416.87 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $691.83 | Professional | None | $371.54 | $457.09 | $691.83 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $1,659.59 Typical High $12,022.64 | Facility | None | $257.04 | $1,659.59 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $524.81 Median $1,047.13 Typical High $3,801.89 | Professional | None | $524.81 | $1,047.13 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $4,265.80 | Facility | None | $1,000.00 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $1,174.90 | Professional | None | $426.58 | $501.19 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $3,311.31 | Professional | None | $489.78 | $912.01 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $416.87 Typical High $954.99 | Professional | None | $81.28 | $416.87 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $851.14 | Facility | None | $512.86 | $741.31 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,548.82 Typical High $2,818.38 | Facility | None | $794.33 | $1,548.82 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | None | $524.81 | $524.81 | $602.56 |
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 $524.81 Median $794.33 Typical High $1,122.02 | Professional | None | $524.81 | $794.33 | $1,122.02 |
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 $467.74 Median $645.65 Typical High $1,258.93 | Professional | None | $467.74 | $645.65 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $707.95 | Professional | None | $457.09 | $575.44 | $707.95 |
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 $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $208.93 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $97.72 | Professional | 53 · Discontinued | $83.18 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $331.13 Typical High $363.08 | Professional | 54 · Surgery only | $316.23 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $66.07 Typical High $72.44 | Professional | 55 · Aftercare only | $63.10 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $43.65 Typical High $48.98 | Professional | 56 · Pre-op care only | $41.69 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $309.03 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $295.12 | $309.03 | $338.84 |
Where Washington sits
The same service costs 4.3 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· 31st of 51
$490
AK $1,380UT $324
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.