How much rates vary
Facilitymedian $1,479 · 10th to 90th $832 to $8,913Professionalmedian $468 · 10th to 90th $85 to $977
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 $851.14 Median $9,549.93 Typical High $21,877.62 | Facility | None | $851.14 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $851.14 | Professional | None | $660.69 | $707.95 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $281.84 Median $1,621.81 Typical High $8,912.51 | Facility | None | $281.84 | $1,621.81 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $4,897.79 | Professional | None | $588.84 | $933.25 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,818.38 | Facility | None | $891.25 | $1,513.56 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $1,174.90 | Professional | None | $346.74 | $645.65 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $1,202.26 Typical High $1,949.84 | Professional | None | $616.60 | $1,202.26 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $371.54 Typical High $891.25 | Professional | None | $81.28 | $371.54 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,096.48 | Facility | None | $707.95 | $1,023.29 | $1,096.48 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,737.80 | Facility | None | $741.31 | $1,047.13 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | None | $588.84 | $741.31 | $741.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,570.88 | $6,760.83 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,174.90 | Professional | None | $588.84 | $741.31 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $9,332.54 | Facility | None | $1,202.26 | $1,949.84 | $9,332.54 |
United Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,412.54 | Professional | None | $562.34 | $724.44 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $72.44 Median $524.81 Typical High $812.83 | Professional | None | $72.44 | $524.81 | $812.83 |
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 $331.13 Median $338.84 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $134.90 Typical High $173.78 | Professional | 53 · Discontinued | $131.83 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $501.19 Typical High $645.65 | Professional | 54 · Surgery only | $489.78 | $501.19 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $67.61 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $602.56 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,760.83 Median $10,232.93 Typical High $19,498.45 | Facility | 50 · Both sides | $6,760.83 | $10,232.93 | $19,498.45 |
Where Washington sits
The same service costs 6.5 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· 46th of 51
$490
AK $2,239UT $347
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.