How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,047 to $14,454Professionalmedian $955 · 10th to 90th $132 to $2,138
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 $2,041.74 Median $12,302.69 Typical High $25,118.86 | Facility | None | $2,041.74 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,348.96 | $2,041.74 | $2,041.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $891.25 Median $1,659.59 Typical High $14,791.08 | Facility | None | $891.25 | $1,659.59 | $14,791.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $3,890.45 Typical High $10,964.78 | Professional | None | $1,819.70 | $3,890.45 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,951.21 Typical High $5,370.32 | Facility | None | $1,000.00 | $2,951.21 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $3,019.95 | Professional | None | $954.99 | $1,445.44 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,754.23 Typical High $4,365.16 | Professional | None | $1,659.59 | $2,754.23 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $831.76 Typical High $1,949.84 | Professional | None | $123.03 | $831.76 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $2,691.53 | Facility | None | $1,659.59 | $2,344.23 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,819.70 | $3,311.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $11,220.18 Typical High $21,379.62 | Facility | None | $8,317.64 | $11,220.18 | $21,379.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,819.70 | $1,819.70 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $15,488.17 | Facility | None | $1,513.56 | $2,570.40 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $3,981.07 | Professional | None | $1,479.11 | $1,778.28 | $3,981.07 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $1,698.24 | Professional | None | $177.83 | $177.83 | $1,698.24 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $12,302.69 Median $16,982.44 Typical High $32,359.37 | Facility | 50 · Both sides | $12,302.69 | $16,982.44 | $32,359.37 |
Where Washington sits
The same service costs 7.1 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· 49th of 51
$1,000
AK $5,370UT $759
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.