How much rates vary
Facilitymedian $1,047 · 10th to 90th $617 to $5,888Professionalmedian $741 · 10th to 90th $105 to $1,479
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 $912.01 Median $11,220.18 Typical High $21,877.62 | Facility | None | $912.01 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | None | $912.01 | $912.01 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $1,513.56 Typical High $5,888.44 | Facility | None | $446.68 | $1,513.56 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $912.01 Median $4,786.30 Typical High $5,128.61 | Professional | None | $912.01 | $4,786.30 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $1,737.80 | Facility | None | $707.95 | $954.99 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,949.84 | Professional | None | $794.33 | $891.25 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,288.25 Typical High $1,698.24 | Professional | None | $794.33 | $1,288.25 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $691.83 Typical High $1,412.54 | Professional | None | $102.33 | $691.83 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,348.96 | Facility | None | $1,000.00 | $1,230.27 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,513.56 | Facility | None | $562.34 | $831.76 | $1,513.56 |
Premera BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $8,511.38 | Facility | None | $3,467.37 | $4,570.88 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,819.70 | Professional | None | $912.01 | $1,318.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $2,089.30 | Professional | None | $812.83 | $1,148.15 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,258.93 | Professional | None | $812.83 | $851.14 | $1,258.93 |
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 $457.09 Median $457.09 Typical High $501.19 | Professional | 52 · Reduced service | $457.09 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | 53 · Discontinued | $181.97 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $741.31 | Professional | 54 · Surgery only | $676.08 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $691.83 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,128.61 Median $6,918.31 Typical High $12,589.25 | Facility | 50 · Both sides | $5,128.61 | $6,918.31 | $12,589.25 |
Where Washington sits
The same service costs 5.9 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· 35th of 51
$759
AK $2,692UT $457
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.