How much rates vary
Facilitymedian $2,188 · 10th to 90th $741 to $13,804Professionalmedian $631 · 10th to 90th $91 to $1,413
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 $1,318.26 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,318.26 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,318.26 | $1,318.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $14,791.08 | Facility | None | $575.44 | $1,148.15 | $14,791.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,174.90 Median $6,165.95 Typical High $6,606.93 | Professional | None | $1,174.90 | $6,165.95 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $4,073.80 | Facility | None | $630.96 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,949.84 | Professional | None | $588.84 | $891.25 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,023.29 | $2,089.30 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $549.54 Typical High $1,288.25 | Professional | None | $83.18 | $549.54 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $1,737.80 | Facility | None | $912.01 | $1,479.11 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,951.21 | Facility | None | $1,023.29 | $1,659.59 | $2,951.21 |
Premera BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $11,220.18 Typical High $21,379.62 | Facility | None | $7,413.10 | $11,220.18 | $21,379.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,089.30 | Professional | None | $1,174.90 | $1,174.90 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $15,488.17 | Facility | None | $1,513.56 | $2,570.40 | $15,488.17 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $2,511.89 | Professional | None | $891.25 | $1,122.02 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $1,122.02 | Professional | None | $114.82 | $114.82 | $1,122.02 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $912.01 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $11,220.18 Median $16,982.44 Typical High $32,359.37 | Facility | 50 · Both sides | $11,220.18 | $16,982.44 | $32,359.37 |
Where Washington sits
The same service costs 8.3 times more in Wyoming 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· 49th of 51
$646
WY $4,074UT $490
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.