How much rates vary
Facilitymedian $2,138 · 10th to 90th $891 to $14,454Professionalmedian $468 · 10th to 90th $87 to $1,047
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 $977.24 Median $11,220.18 Typical High $21,877.62 | Facility | None | $977.24 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,000.00 | Professional | None | $912.01 | $977.24 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $1,621.81 Typical High $14,791.08 | Facility | None | $416.87 | $1,621.81 | $14,791.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $870.96 Median $4,677.35 Typical High $4,677.35 | Professional | None | $870.96 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $4,265.80 | Facility | None | $891.25 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $1,412.54 | Professional | None | $512.86 | $776.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,949.84 Typical High $3,311.31 | Professional | None | $870.96 | $1,949.84 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $398.11 Typical High $912.01 | Professional | None | $83.18 | $398.11 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $1,258.93 | Facility | None | $741.31 | $1,230.27 | $1,258.93 |
Premera BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,000.00 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
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 $870.96 Median $870.96 Typical High $1,621.81 | Professional | None | $870.96 | $870.96 | $1,621.81 |
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 $758.58 Median $891.25 Typical High $1,905.46 | Professional | None | $758.58 | $891.25 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $794.33 | Professional | None | $85.11 | $85.11 | $794.33 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
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 8.5 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
$479
WY $3,020UT $355
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.