How much rates vary
Facilitymedian $1,585 · 10th to 90th $741 to $8,913Professionalmedian $708 · 10th to 90th $91 to $1,549
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 $1,479.11 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,479.11 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,202.26 | $1,479.11 | $1,479.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $8,912.51 | Facility | None | $630.96 | $1,513.56 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,318.26 Median $2,818.38 Typical High $7,244.36 | Professional | None | $1,318.26 | $2,818.38 | $7,244.36 |
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 $724.44 Median $1,096.48 Typical High $2,187.76 | Professional | None | $724.44 | $1,096.48 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,412.54 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $616.60 Typical High $1,412.54 | Professional | None | $85.11 | $616.60 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $1,949.84 | Facility | None | $1,202.26 | $1,819.70 | $1,949.84 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,737.80 | Facility | None | $741.31 | $1,071.52 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $1,318.26 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,318.26 | $1,318.26 | $2,238.72 |
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 $1,096.48 Median $1,318.26 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,318.26 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $1,230.27 | Professional | None | $128.82 | $128.82 | $1,230.27 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
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 7.4 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
$724
AK $3,981UT $537
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.