How much rates vary
Facilitymedian $589 · 10th to 90th $309 to $2,239Professionalmedian $417 · 10th to 90th $83 to $933
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 $794.33 Median $11,220.18 Typical High $25,118.86 | Facility | None | $794.33 | $11,220.18 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $912.01 | Professional | None | $575.44 | $758.58 | $912.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $1,548.82 Typical High $3,235.94 | Facility | None | $323.59 | $1,548.82 | $3,235.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $1,479.11 Typical High $4,365.16 | Professional | None | $660.69 | $1,479.11 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $478.63 Typical High $812.83 | Facility | None | $389.05 | $478.63 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $1,148.15 | Professional | None | $398.11 | $616.60 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $1,258.93 | Professional | None | $338.84 | $676.08 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $316.23 Typical High $831.76 | Professional | None | $79.43 | $316.23 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,047.13 | Facility | None | $588.84 | $977.24 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $588.84 | Facility | None | $229.09 | $316.23 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | None | $676.08 | $707.95 | $707.95 |
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 $660.69 Median $691.83 Typical High $1,202.26 | Professional | None | $660.69 | $691.83 | $1,202.26 |
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 $630.96 Median $741.31 Typical High $1,513.56 | Professional | None | $630.96 | $741.31 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $588.84 Typical High $741.31 | Professional | None | $67.61 | $588.84 | $741.31 |
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 $371.54 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | 53 · Discontinued | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 54 · Surgery only | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $549.54 |
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 6.2 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· 48th of 51
$427
AK $1,995UT $324
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.