How much rates vary
Facilitymedian $2,138 · 10th to 90th $832 to $13,804Professionalmedian $741 · 10th to 90th $91 to $1,698
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 $1,584.89 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,584.89 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,584.89 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $14,791.08 | Facility | None | $691.83 | $1,513.56 | $14,791.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,445.44 Median $7,585.78 Typical High $7,762.47 | Professional | None | $1,445.44 | $7,585.78 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,265.80 | Facility | None | $707.95 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $2,344.23 | Professional | None | $758.58 | $1,148.15 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,318.26 | $2,187.76 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $660.69 Typical High $1,513.56 | Professional | None | $83.18 | $660.69 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,041.74 | Facility | None | $1,258.93 | $1,819.70 | $2,041.74 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
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 $1,445.44 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,445.44 | $2,398.83 |
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 $1,174.90 Median $1,412.54 Typical High $3,090.30 | Professional | None | $1,174.90 | $1,412.54 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $1,318.26 | Professional | None | $138.04 | $138.04 | $1,318.26 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,096.48 |
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 7.2 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· 49th of 51
$776
AK $4,266UT $589
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.