How much rates vary
Facilitymedian $2,239 · 10th to 90th $575 to $11,749Professionalmedian $933 · 10th to 90th $105 to $1,862
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 $1,148.15 Median $6,165.95 Typical High $20,892.96 | Facility | None | $1,148.15 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,258.93 | Professional | None | $933.25 | $1,148.15 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $12,302.69 | Facility | None | $457.09 | $870.96 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,148.15 Median $6,025.60 Typical High $6,456.54 | Professional | None | $1,148.15 | $6,025.60 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,862.09 Typical High $3,548.13 | Facility | None | $467.74 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,122.02 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,995.26 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $851.14 Typical High $1,778.28 | Professional | None | $102.33 | $851.14 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $1,698.24 | Facility | None | $1,258.93 | $1,548.82 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,754.23 | Facility | None | $1,096.48 | $1,548.82 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $9,549.93 Typical High $17,782.79 | Facility | None | $7,244.36 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $12,882.50 | Facility | None | $2,089.30 | $3,548.13 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,570.40 | Professional | None | $1,023.29 | $1,445.44 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,071.52 | $1,584.89 |
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 $575.44 Median $575.44 Typical High $630.96 | Professional | 52 · Reduced service | $575.44 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | 53 · Discontinued | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $851.14 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $870.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,964.78 Median $14,454.40 Typical High $26,915.35 | Facility | 50 · Both sides | $10,964.78 | $14,454.40 | $26,915.35 |
Where Washington sits
The same service costs 6.9 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· 40th of 51
$955
OK $3,890UT $562
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.