How much rates vary
Facilitymedian $2,188 · 10th to 90th $891 to $14,454Professionalmedian $437 · 10th to 90th $72 to $891
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 $12,302.69 Typical High $25,118.86 | Facility | None | $758.58 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | None | $758.58 | $758.58 | $912.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $1,659.59 Typical High $14,791.08 | Facility | None | $323.59 | $1,659.59 | $14,791.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $1,548.82 Typical High $6,918.31 | Professional | None | $676.08 | $1,548.82 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $4,265.80 | Facility | None | $1,000.00 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $1,096.48 | Professional | None | $398.11 | $602.56 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,949.84 Typical High $3,311.31 | Professional | None | $660.69 | $1,949.84 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $371.54 Typical High $776.25 | Professional | None | $69.18 | $371.54 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $1,000.00 | Facility | None | $707.95 | $954.99 | $1,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $2,691.53 | Facility | None | $741.31 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $11,220.18 Typical High $21,379.62 | Facility | None | $7,413.10 | $11,220.18 | $21,379.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,258.93 | Professional | None | $676.08 | $676.08 | $1,258.93 |
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 $602.56 Median $707.95 Typical High $1,479.11 | Professional | None | $602.56 | $707.95 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $616.60 | Professional | None | $66.07 | $66.07 | $616.60 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
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 $11,220.18 Median $16,982.44 Typical High $32,359.37 | Facility | 50 · Both sides | $11,220.18 | $16,982.44 | $32,359.37 |
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· 49th of 51
$447
WY $2,399UT $302
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.