How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,380 to $20,417Professionalmedian $741 · 10th to 90th $100 to $2,138
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 $1,380.38 Median $12,589.25 Typical High $24,547.09 | Facility | None | $1,380.38 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,380.38 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $2,630.27 Typical High $22,387.21 | Facility | None | $676.08 | $2,630.27 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,412.54 Median $7,413.10 Typical High $7,762.47 | Professional | None | $1,412.54 | $7,413.10 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,073.80 Typical High $7,413.10 | Facility | None | $1,380.38 | $4,073.80 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $2,951.21 | Professional | None | $1,230.27 | $1,348.96 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $6,309.57 | Professional | None | $1,479.11 | $2,630.27 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $630.96 Typical High $2,041.74 | Professional | None | $95.50 | $630.96 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $2,041.74 | Facility | None | $1,445.44 | $1,819.70 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,621.81 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,412.54 | $1,995.26 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $3,162.28 | Professional | None | $1,230.27 | $1,737.80 | $3,162.28 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,905.46 | Professional | None | $1,230.27 | $1,288.25 | $1,905.46 |
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 $691.83 Median $691.83 Typical High $758.58 | Professional | 52 · Reduced service | $691.83 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 53 · Discontinued | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,071.52 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $25,703.96 Typical High $48,977.88 | Facility | 50 · Both sides | $16,982.44 | $25,703.96 | $48,977.88 |
Where Washington sits
The same service costs 7.2 times more in Oklahoma 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
$813
OK $4,677UT $646
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.