How much rates vary
Facilitymedian $2,188 · 10th to 90th $676 to $14,791Professionalmedian $427 · 10th to 90th $81 to $871
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 $758.58 Median $6,456.54 Typical High $20,892.96 | Facility | None | $758.58 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | None | $758.58 | $758.58 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $1,148.15 Typical High $15,848.93 | Facility | None | $323.59 | $1,148.15 | $15,848.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $3,630.78 Typical High $3,630.78 | Professional | None | $660.69 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $5,248.07 | Facility | None | $630.96 | $2,818.38 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Professional | None | $389.05 | $588.84 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $2,511.89 Typical High $4,265.80 | Professional | None | $660.69 | $2,511.89 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $380.19 Typical High $776.25 | Professional | None | $75.86 | $380.19 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $977.24 | Facility | None | $691.83 | $933.25 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $2,137.96 Typical High $3,630.78 | Facility | None | $776.25 | $2,137.96 | $3,630.78 |
Premera BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $11,748.98 Typical High $22,387.21 | Facility | None | $8,317.64 | $11,748.98 | $22,387.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,258.93 | Professional | None | $660.69 | $660.69 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $16,218.10 | Facility | None | $1,202.26 | $1,949.84 | $16,218.10 |
United Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,479.11 | Professional | None | $575.44 | $691.83 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $630.96 | Professional | None | $66.07 | $66.07 | $630.96 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $524.81 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $12,302.69 Median $17,782.79 Typical High $33,884.42 | Facility | 50 · Both sides | $12,302.69 | $17,782.79 | $33,884.42 |
Where Washington sits
The same service costs 7.9 times more in Wyoming 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· 48th of 51
$437
WY $2,344UT $295
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.