How much rates vary
Facilitymedian $339 · 10th to 90th $138 to $1,230Professionalmedian $437 · 10th to 90th $48 to $851
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 $524.81 Median $5,128.61 Typical High $20,892.96 | Facility | None | $524.81 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $691.83 | Professional | None | $316.23 | $389.05 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $158.49 Median $812.83 Typical High $1,621.81 | Facility | None | $158.49 | $812.83 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $338.84 Median $1,174.90 Typical High $4,265.80 | Professional | None | $338.84 | $1,174.90 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $288.40 Typical High $707.95 | Facility | None | $75.86 | $288.40 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $776.25 | Professional | None | $257.04 | $426.58 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $371.54 Typical High $1,000.00 | Professional | None | $199.53 | $371.54 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $416.87 Typical High $812.83 | Professional | None | $42.66 | $416.87 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $870.96 | Facility | None | $489.78 | $812.83 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $316.23 | Facility | None | $128.82 | $177.83 | $316.23 |
Premera BCBS Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $588.84 | Professional | None | $346.74 | $588.84 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $1,621.81 | Facility | None | $645.65 | $851.14 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $912.01 | Professional | None | $338.84 | $588.84 | $912.01 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,288.25 | Facility | None | $134.90 | $346.74 | $1,288.25 |
United Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $1,000.00 | Professional | None | $323.59 | $549.54 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $295.12 Typical High $630.96 | Professional | None | $57.54 | $295.12 | $630.96 |
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 $190.55 Median $194.98 Typical High $346.74 | Professional | 52 · Reduced service | $190.55 | $194.98 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $141.25 | Professional | 53 · Discontinued | $75.86 | $77.62 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $288.40 Typical High $524.81 | Professional | 54 · Surgery only | $281.84 | $288.40 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $58.88 Typical High $104.71 | Professional | 55 · Aftercare only | $56.23 | $58.88 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.90 Typical High $69.18 | Professional | 56 · Pre-op care only | $38.02 | $38.90 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $269.15 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $263.03 | $269.15 | $489.78 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $977.24 Median $1,288.25 Typical High $2,398.83 | Facility | 50 · Both sides | $977.24 | $1,288.25 | $2,398.83 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Maryland. 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· 26th of 51
$427
AK $1,023MD $302
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.