How much rates vary
Facilitymedian $1,413 · 10th to 90th $646 to $7,413Professionalmedian $457 · 10th to 90th $81 to $977
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 $602.56 Median $6,456.54 Typical High $20,892.96 | Facility | None | $602.56 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | None | $602.56 | $602.56 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $1,148.15 Typical High $7,413.10 | Facility | None | $323.59 | $1,148.15 | $7,413.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $5,128.61 | Professional | None | $630.96 | $933.25 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,318.26 Typical High $2,344.23 | Facility | None | $630.96 | $1,318.26 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $1,023.29 | Professional | None | $489.78 | $588.84 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $1,122.02 Typical High $1,819.70 | Professional | None | $524.81 | $1,122.02 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $398.11 Typical High $912.01 | Professional | None | $72.44 | $398.11 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $933.25 | Facility | None | $660.69 | $870.96 | $933.25 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $1,621.81 | Facility | None | $691.83 | $977.24 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $5,623.41 Typical High $10,715.19 | Facility | None | $3,890.45 | $5,623.41 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,047.13 | Professional | None | $630.96 | $630.96 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $7,585.78 | Facility | None | $1,202.26 | $1,949.84 | $7,585.78 |
United Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,288.25 | Professional | None | $537.03 | $660.69 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $912.01 | Professional | None | $436.52 | $588.84 | $912.01 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,888.44 Median $8,511.38 Typical High $15,848.93 | Facility | 50 · Both sides | $5,888.44 | $8,511.38 | $15,848.93 |
Where Washington sits
The same service costs 5.8 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· 44th of 51
$479
AK $1,862UT $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.