How much rates vary
Facilitymedian $1,585 · 10th to 90th $562 to $8,511Professionalmedian $398 · 10th to 90th $83 to $912
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 $851.14 Median $6,165.95 Typical High $20,892.96 | Facility | None | $851.14 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $870.96 | Professional | None | $776.25 | $851.14 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $870.96 Typical High $8,912.51 | Facility | None | $371.54 | $870.96 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $758.58 Median $3,981.07 Typical High $4,168.69 | Professional | None | $758.58 | $3,981.07 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,659.59 Typical High $2,951.21 | Facility | None | $467.74 | $1,659.59 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $1,258.93 | Professional | None | $416.87 | $630.96 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,479.11 Typical High $2,398.83 | Professional | None | $724.44 | $1,479.11 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $338.84 Typical High $794.33 | Professional | None | $81.28 | $338.84 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $977.24 Typical High $1,096.48 | Facility | None | $707.95 | $977.24 | $1,096.48 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $2,137.96 | Facility | None | $758.58 | $1,258.93 | $2,137.96 |
Premera BCBS Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,466.84 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,466.84 | $6,760.83 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,412.54 | Professional | None | $758.58 | $758.58 | $1,412.54 |
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 $758.58 Typical High $1,659.59 | Professional | None | $602.56 | $758.58 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $707.95 | Professional | None | $74.13 | $74.13 | $707.95 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
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 8.3 times more in Wyoming than in Texas. 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
$417
WY $2,512TX $302
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.