How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,413 to $20,417Professionalmedian $977 · 10th to 90th $100 to $2,754
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 $1,737.80 Median $12,589.25 Typical High $24,547.09 | Facility | None | $1,737.80 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,737.80 | $1,737.80 | $1,905.46 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $891.25 Median $2,630.27 Typical High $22,387.21 | Facility | None | $891.25 | $2,630.27 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,778.28 Median $9,332.54 Typical High $10,232.93 | Professional | None | $1,778.28 | $9,332.54 | $10,232.93 |
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 $1,479.11 Median $1,621.81 Typical High $3,715.35 | Professional | None | $1,479.11 | $1,621.81 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $6,309.57 | Professional | None | $1,778.28 | $3,311.31 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $831.76 Typical High $2,691.53 | Professional | None | $95.50 | $831.76 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $2,511.89 | Facility | None | $1,621.81 | $2,290.87 | $2,511.89 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $1,778.28 Median $2,570.40 Typical High $3,548.13 | Professional | None | $1,778.28 | $2,570.40 | $3,548.13 |
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 $1,513.56 Median $2,137.96 Typical High $3,981.07 | Professional | None | $1,513.56 | $2,137.96 | $3,981.07 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,621.81 | $1,698.24 | $2,511.89 |
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 $870.96 Median $870.96 Typical High $954.99 | Professional | 52 · Reduced service | $870.96 | $870.96 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | 53 · Discontinued | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,348.96 |
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 6.2 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
$1,072
AK $5,248UT $851
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.