How much rates vary
Facilitymedian $832 · 10th to 90th $295 to $8,913Professionalmedian $372 · 10th to 90th $49 to $776
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 $524.81 Median $5,128.61 Typical High $20,892.96 | Facility | None | $524.81 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $676.08 | Professional | None | $363.08 | $512.86 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $223.87 Median $6,309.57 Typical High $12,882.50 | Facility | None | $223.87 | $6,309.57 | $12,882.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $457.09 Median $1,174.90 Typical High $3,801.89 | Professional | None | $457.09 | $1,174.90 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $1,000.00 | Facility | None | $398.11 | $707.95 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $870.96 | Professional | None | $269.15 | $467.74 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $977.24 | Professional | None | $338.84 | $501.19 | $977.24 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $302.00 Typical High $724.44 | Professional | None | $42.66 | $302.00 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $851.14 | Facility | None | $457.09 | $741.31 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $588.84 | Facility | None | $208.93 | $323.59 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | None | $467.74 | $602.56 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,570.88 | $6,760.83 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $933.25 | Professional | None | $457.09 | $588.84 | $933.25 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $9,332.54 | Facility | None | $1,202.26 | $1,949.84 | $9,332.54 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $1,071.52 | Professional | None | $426.58 | $549.54 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $416.87 Typical High $645.65 | Professional | None | $57.54 | $416.87 | $645.65 |
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 $257.04 Median $263.03 Typical High $331.13 | Professional | 52 · Reduced service | $257.04 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $134.90 | Professional | 53 · Discontinued | $102.33 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | 54 · Surgery only | $389.05 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $79.43 Typical High $100.00 | Professional | 55 · Aftercare only | $77.62 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $52.48 Typical High $67.61 | Professional | 56 · Pre-op care only | $51.29 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $467.74 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,760.83 Median $10,232.93 Typical High $19,498.45 | Facility | 50 · Both sides | $6,760.83 | $10,232.93 | $19,498.45 |
Where Washington sits
The same service costs 5.0 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· 42nd of 51
$389
AK $1,380UT $275
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.