How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,413 to $19,953Professionalmedian $871 · 10th to 90th $129 to $2,042
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 $1,995.26 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,995.26 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,348.96 | $1,995.26 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $19,952.62 | Facility | None | $870.96 | $1,659.59 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,778.28 Median $3,801.89 Typical High $9,549.93 | Professional | None | $1,778.28 | $3,801.89 | $9,549.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $4,677.35 Typical High $7,943.28 | Professional | None | $1,737.80 | $4,677.35 | $7,943.28 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $776.25 Typical High $1,862.09 | Professional | None | $125.89 | $776.25 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,630.27 | Facility | None | $1,819.70 | $2,454.71 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $6,309.57 | Facility | None | $1,548.82 | $3,090.30 | $6,309.57 |
Premera BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $15,135.61 Typical High $28,840.32 | Facility | None | $10,232.93 | $15,135.61 | $28,840.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,162.28 | Professional | None | $1,778.28 | $1,778.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $20,892.96 | Facility | None | $2,089.30 | $3,890.45 | $20,892.96 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $3,890.45 | Professional | None | $1,584.89 | $1,862.09 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $1,621.81 | Professional | None | $173.78 | $173.78 | $1,621.81 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,380.38 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,135.61 Median $22,908.68 Typical High $43,651.58 | Facility | 50 · Both sides | $15,135.61 | $22,908.68 | $43,651.58 |
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
$933
WY $5,623UT $676
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.