How much rates vary
Facilitymedian $1,514 · 10th to 90th $708 to $8,913Professionalmedian $398 · 10th to 90th $49 to $871
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 $776.25 Median $9,549.93 Typical High $21,877.62 | Facility | None | $776.25 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $776.25 | Professional | None | $478.63 | $562.34 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $208.93 Median $1,513.56 Typical High $8,912.51 | Facility | None | $208.93 | $1,513.56 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $416.87 Median $1,288.25 Typical High $4,073.80 | Professional | None | $416.87 | $1,288.25 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,513.56 Typical High $2,691.53 | Facility | None | $707.95 | $1,513.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $891.25 | Professional | None | $263.03 | $478.63 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $1,148.15 Typical High $1,949.84 | Professional | None | $416.87 | $1,148.15 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $331.13 Typical High $794.33 | Professional | None | $43.65 | $331.13 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $954.99 | Facility | None | $630.96 | $891.25 | $954.99 |
Premera BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,737.80 | Facility | None | $707.95 | $1,047.13 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $660.69 | Professional | None | $426.58 | $660.69 | $660.69 |
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 $416.87 Median $660.69 Typical High $1,023.29 | Professional | None | $416.87 | $660.69 | $1,023.29 |
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 $389.05 Median $616.60 Typical High $1,096.48 | Professional | None | $389.05 | $616.60 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $380.19 Typical High $691.83 | Professional | None | $63.10 | $380.19 | $691.83 |
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 $234.42 Median $239.88 Typical High $389.05 | Professional | 52 · Reduced service | $234.42 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | 53 · Discontinued | $95.50 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $363.08 Typical High $575.44 | Professional | 54 · Surgery only | $354.81 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $72.44 Typical High $114.82 | Professional | 55 · Aftercare only | $70.79 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $338.84 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $331.13 | $338.84 | $537.03 |
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 5.9 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· 40th of 51
$417
AK $1,698UT $288
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.