How much rates vary
Facilitymedian $1,698 · 10th to 90th $977 to $8,913Professionalmedian $1,072 · 10th to 90th $813 to $5,495
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 $1,148.15 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,148.15 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,148.15 | $1,148.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $2,041.74 Typical High $8,912.51 | Facility | None | $588.84 | $2,041.74 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,047.13 Median $5,495.41 Typical High $5,754.40 | Professional | None | $1,047.13 | $5,495.41 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,348.96 | $1,737.80 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $891.25 Typical High $1,659.59 | Professional | None | $575.44 | $891.25 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,454.71 | Professional | None | $977.24 | $1,548.82 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $794.33 Typical High $1,348.96 | Professional | None | $50.12 | $794.33 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $1,348.96 | Facility | None | $436.52 | $758.58 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,187.76 | Facility | None | $954.99 | $1,288.25 | $2,187.76 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,011.87 Median $6,760.83 Typical High $12,882.50 | Facility | None | $5,011.87 | $6,760.83 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,047.13 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $8,912.51 | Facility | None | $1,202.26 | $1,995.26 | $8,912.51 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $2,398.83 | Professional | None | $851.14 | $1,071.52 | $2,398.83 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $1,122.02 | Professional | None | $102.33 | $102.33 | $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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,585.78 Median $10,232.93 Typical High $19,498.45 | Facility | 50 · Both sides | $7,585.78 | $10,232.93 | $19,498.45 |
Where Washington sits
The same service costs 4.6 times more in Alaska than in New York. 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· 19th of 51
$1,175
AK $3,090NY $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.