How much rates vary
Facilitymedian $1,862 · 10th to 90th $832 to $7,413Professionalmedian $661 · 10th to 90th $93 to $1,349
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 $794.33 Median $7,943.28 Typical High $27,542.29 | Facility | None | $794.33 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | None | $794.33 | $794.33 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $467.74 Median $5,623.41 Typical High $11,220.18 | Facility | None | $467.74 | $5,623.41 | $11,220.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $870.96 Median $4,570.88 Typical High $5,370.32 | Professional | None | $870.96 | $4,570.88 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $2,951.21 | Facility | None | $707.95 | $1,659.59 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,380.38 | Professional | None | $630.96 | $741.31 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,412.54 Typical High $2,290.87 | Professional | None | $660.69 | $1,412.54 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $588.84 Typical High $1,258.93 | Professional | None | $85.11 | $588.84 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,288.25 | Facility | None | $794.33 | $1,148.15 | $1,288.25 |
Premera BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,089.30 | Facility | None | $851.14 | $1,348.96 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $10,715.19 | Facility | None | $4,365.16 | $5,754.40 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,445.44 | Professional | None | $870.96 | $870.96 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $7,943.28 | Facility | None | $1,513.56 | $2,570.40 | $7,943.28 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,778.28 | Professional | None | $707.95 | $891.25 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,288.25 | Professional | None | $616.60 | $831.76 | $1,288.25 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,606.93 Median $8,709.64 Typical High $15,848.93 | Facility | 50 · Both sides | $6,606.93 | $8,709.64 | $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· 39th of 51
$676
AK $2,570UT $447
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.