How much rates vary
Facilitymedian $479 · 10th to 90th $209 to $2,239Professionalmedian $331 · 10th to 90th $43 to $617
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 $457.09 Median $11,220.18 Typical High $25,118.86 | Facility | None | $457.09 | $11,220.18 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $758.58 | Professional | None | $416.87 | $457.09 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $1,258.93 Typical High $2,238.72 | Facility | None | $177.83 | $1,258.93 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $4,677.35 | Professional | None | $363.08 | $562.34 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $630.96 | Facility | None | $245.47 | $457.09 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $741.31 | Professional | None | $323.59 | $380.19 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $891.25 | Professional | None | $204.17 | $426.58 | $891.25 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $251.19 Typical High $524.81 | Professional | None | $37.15 | $251.19 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $1,348.96 | Facility | None | $478.63 | $575.44 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $354.81 | Facility | None | $173.78 | $234.42 | $354.81 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | None | $371.54 | $407.38 | $407.38 |
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 $363.08 Median $398.11 Typical High $691.83 | Professional | None | $363.08 | $398.11 | $691.83 |
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 $354.81 Median $436.52 Typical High $870.96 | Professional | None | $354.81 | $436.52 | $870.96 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $331.13 Typical High $436.52 | Professional | None | $38.90 | $331.13 | $436.52 |
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 $208.93 Median $213.80 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $316.23 Typical High $338.84 | Professional | 54 · Surgery only | $309.03 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $42.66 Typical High $45.71 | Professional | 56 · Pre-op care only | $41.69 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $295.12 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $288.40 | $295.12 | $316.23 |
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 5.0 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· 44th of 51
$331
AK $1,096UT $219
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.