How much rates vary
Facilitymedian $3,631 · 10th to 90th $891 to $19,953Professionalmedian $676 · 10th to 90th $105 to $1,318
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 $758.58 Median $11,220.18 Typical High $21,877.62 | Facility | None | $758.58 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $851.14 | Professional | None | $645.65 | $758.58 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $398.11 Median $1,621.81 Typical High $21,877.62 | Facility | None | $398.11 | $1,621.81 | $21,877.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $1,548.82 Typical High $5,011.87 | Professional | None | $812.83 | $1,548.82 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,801.89 Typical High $7,244.36 | Facility | None | $891.25 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,737.80 | Professional | None | $691.83 | $758.58 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,513.56 Typical High $6,309.57 | Professional | None | $831.76 | $1,513.56 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $630.96 Typical High $1,288.25 | Professional | None | $102.33 | $630.96 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,174.90 | Facility | None | $812.83 | $1,047.13 | $1,174.90 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $812.83 Median $1,174.90 Typical High $1,659.59 | Professional | None | $812.83 | $1,174.90 | $1,659.59 |
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 $707.95 Median $1,000.00 Typical High $1,862.09 | Professional | None | $707.95 | $1,000.00 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,096.48 | Professional | None | $707.95 | $741.31 | $1,096.48 |
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 $380.19 Median $380.19 Typical High $407.38 | Professional | 52 · Reduced service | $380.19 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $151.36 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | 54 · Surgery only | $562.34 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $575.44 |
Where Washington sits
The same service costs 8.1 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· 43rd of 51
$692
OK $3,467UT $427
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.