How much rates vary
Facilitymedian $631 · 10th to 90th $263 to $8,913Professionalmedian $302 · 10th to 90th $47 to $603
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 $512.86 Median $9,549.93 Typical High $21,877.62 | Facility | None | $512.86 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $489.78 Typical High $512.86 | Professional | None | $302.00 | $489.78 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $134.90 Median $6,309.57 Typical High $12,882.50 | Facility | None | $134.90 | $6,309.57 | $12,882.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $851.14 Typical High $3,388.44 | Professional | None | $263.03 | $851.14 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $467.74 Typical High $691.83 | Facility | None | $331.13 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $338.84 Typical High $602.56 | Professional | None | $199.53 | $338.84 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $707.95 | Professional | None | $263.03 | $398.11 | $707.95 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $281.84 Typical High $549.54 | Professional | None | $42.66 | $281.84 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $602.56 | Facility | None | $398.11 | $549.54 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $457.09 | Facility | None | $204.17 | $281.84 | $457.09 |
Premera BCBS Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $436.52 | Professional | None | $275.42 | $436.52 | $436.52 |
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 $263.03 Median $436.52 Typical High $676.08 | Professional | None | $263.03 | $436.52 | $676.08 |
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 $263.03 Median $407.38 Typical High $724.44 | Professional | None | $263.03 | $407.38 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $251.19 Typical High $467.74 | Professional | None | $41.69 | $251.19 | $467.74 |
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 $151.36 Median $154.88 Typical High $257.04 | Professional | 52 · Reduced service | $151.36 | $154.88 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $102.33 | Professional | 53 · Discontinued | $60.26 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $389.05 | Professional | 54 · Surgery only | $229.09 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $77.62 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.90 Typical High $51.29 | Professional | 56 · Pre-op care only | $30.20 | $30.90 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $213.80 | $213.80 | $363.08 |
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 4.3 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· 39th of 51
$302
WY $933UT $219
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.