How much rates vary
Facilitymedian $16,596 · 10th to 90th $708 to $83,176Professionalmedian $631 · 10th to 90th $100 to $1,288
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 $691.83 Median $6,456.54 Typical High $20,892.96 | Facility | None | $691.83 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $912.01 | Professional | None | $537.03 | $660.69 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $1,148.15 Typical High $85,113.80 | Facility | None | $416.87 | $1,148.15 | $85,113.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $724.44 Median $5,011.87 Typical High $13,489.63 | Professional | None | $724.44 | $5,011.87 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $37,153.52 Typical High $50,118.72 | Facility | None | $630.96 | $37,153.52 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,513.56 | Professional | None | $616.60 | $676.08 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $54,954.09 | Professional | None | $776.25 | $1,318.26 | $54,954.09 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $602.56 Typical High $1,258.93 | Professional | None | $97.72 | $602.56 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,047.13 | Facility | None | $602.56 | $1,000.00 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $13,489.63 Median $21,379.62 Typical High $34,673.69 | Facility | None | $13,489.63 | $21,379.62 | $34,673.69 |
Premera BCBS Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $47,863.01 Median $64,565.42 Typical High $120,226.44 | Facility | None | $47,863.01 | $64,565.42 | $120,226.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,513.56 | Professional | None | $724.44 | $1,071.52 | $1,513.56 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $13,182.57 Typical High $120,226.44 | Facility | None | $4,365.16 | $13,182.57 | $120,226.44 |
United Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,698.24 | Professional | None | $645.65 | $912.01 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,174.90 | Professional | None | $758.58 | $776.25 | $1,174.90 |
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 $331.13 Median $331.13 Typical High $346.74 | Professional | 52 · Reduced service | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | 53 · Discontinued | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $524.81 | Professional | 54 · Surgery only | $501.19 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $489.78 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $70,794.58 Median $95,499.26 Typical High $181,970.09 | Facility | 50 · Both sides | $70,794.58 | $95,499.26 | $181,970.09 |
Where Washington sits
The same service costs 24.6 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $43,875MT $1,787
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.