How much rates vary
Facilitymedian $1,585 · 10th to 90th $724 to $8,710Professionalmedian $550 · 10th to 90th $95 to $1,175
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 $724.44 Median $6,165.95 Typical High $20,892.96 | Facility | None | $724.44 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,023.29 | Professional | None | $562.34 | $724.44 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $1,148.15 Typical High $8,912.51 | Facility | None | $309.03 | $1,148.15 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $630.96 Median $1,737.80 Typical High $5,495.41 | Professional | None | $630.96 | $1,737.80 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,698.24 Typical High $3,090.30 | Facility | None | $630.96 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $724.44 Typical High $1,318.26 | Professional | None | $371.54 | $724.44 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,412.54 Typical High $2,238.72 | Professional | None | $676.08 | $1,412.54 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $436.52 Typical High $1,071.52 | Professional | None | $83.18 | $436.52 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,288.25 | Facility | None | $758.58 | $1,174.90 | $1,288.25 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $2,137.96 | Facility | None | $870.96 | $1,258.93 | $2,137.96 |
Premera BCBS Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $870.96 | Professional | None | $645.65 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,897.79 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,897.79 | $6,760.83 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,348.96 | Professional | None | $630.96 | $870.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $8,912.51 | Facility | None | $1,202.26 | $1,949.84 | $8,912.51 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,548.82 | Professional | None | $602.56 | $851.14 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $562.34 Typical High $933.25 | Professional | None | $85.11 | $562.34 | $933.25 |
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 $363.08 Median $371.54 Typical High $512.86 | Professional | 52 · Reduced service | $363.08 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $147.91 Typical High $204.17 | Professional | 53 · Discontinued | $144.54 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $549.54 Typical High $758.58 | Professional | 54 · Surgery only | $537.03 | $549.54 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $109.65 Typical High $151.36 | Professional | 55 · Aftercare only | $107.15 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $74.13 Typical High $102.33 | Professional | 56 · Pre-op care only | $72.44 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $512.86 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $501.19 | $512.86 | $707.95 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,244.36 Median $10,232.93 Typical High $19,498.45 | Facility | 50 · Both sides | $7,244.36 | $10,232.93 | $19,498.45 |
Where Washington sits
The same service costs 3.1 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $5,141MT $1,633
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.