How much rates vary
Facilitymedian $1,995 · 10th to 90th $794 to $7,413Professionalmedian $1,148 · 10th to 90th $138 to $2,291
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 $1,479.11 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,479.11 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | None | $1,479.11 | $1,479.11 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $7,585.78 | Facility | None | $602.56 | $1,148.15 | $7,585.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,621.81 Median $8,511.38 Typical High $9,332.54 | Professional | None | $1,621.81 | $8,511.38 | $9,332.54 |
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 $1,174.90 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,412.54 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,621.81 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $1,023.29 Typical High $2,137.96 | Professional | None | $128.82 | $1,023.29 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,344.23 | Facility | None | $1,584.89 | $2,089.30 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,818.38 | Facility | None | $1,148.15 | $1,737.80 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $1,621.81 Median $1,621.81 Typical High $2,630.27 | Professional | None | $1,621.81 | $1,621.81 | $2,630.27 |
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 $1,348.96 Median $1,659.59 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,659.59 | $3,235.94 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,445.44 | $2,187.76 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
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 6.2 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· 46th of 51
$1,148
AK $4,786UT $776
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.