How much rates vary
Facilitymedian $631 · 10th to 90th $302 to $2,239Professionalmedian $339 · 10th to 90th $49 to $692
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 $602.56 Median $6,165.95 Typical High $20,892.96 | Facility | None | $602.56 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $602.56 | Professional | None | $363.08 | $537.03 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $1,096.48 Typical High $2,238.72 | Facility | None | $229.09 | $1,096.48 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $1,071.52 Typical High $3,311.31 | Professional | None | $478.63 | $1,071.52 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $1,023.29 | Facility | None | $407.38 | $630.96 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $831.76 | Professional | None | $302.00 | $467.74 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $933.25 | Professional | None | $346.74 | $489.78 | $933.25 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $269.15 Typical High $630.96 | Professional | None | $42.66 | $269.15 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $537.03 Median $724.44 Typical High $776.25 | Facility | None | $537.03 | $724.44 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $537.03 | Facility | None | $234.42 | $331.13 | $537.03 |
Premera BCBS Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | None | $478.63 | $524.81 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,202.26 | $1,698.24 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $891.25 | Professional | None | $478.63 | $524.81 | $891.25 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,238.72 | Facility | None | $371.54 | $691.83 | $2,238.72 |
United Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $1,096.48 | Professional | None | $436.52 | $524.81 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $426.58 Typical High $562.34 | Professional | None | $51.29 | $426.58 | $562.34 |
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 $269.15 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $107.15 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | 54 · Surgery only | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $83.18 Typical High $89.13 | Professional | 55 · Aftercare only | $81.28 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $53.70 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $416.87 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,778.28 Median $2,570.40 Typical High $4,786.30 | Facility | 50 · Both sides | $1,778.28 | $2,570.40 | $4,786.30 |
Where Washington sits
The same service costs 5.6 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· 47th of 51
$347
AK $1,413UT $251
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.