How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,096 to $20,417Professionalmedian $871 · 10th to 90th $100 to $2,399
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 $1,548.82 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,548.82 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,548.82 | $1,548.82 | $1,698.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $22,387.21 | Facility | None | $758.58 | $1,659.59 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $10,000.00 | Professional | None | $1,584.89 | $3,019.95 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $3,388.44 | Professional | None | $1,380.38 | $1,513.56 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,951.21 Typical High $6,309.57 | Professional | None | $1,659.59 | $2,951.21 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $741.31 Typical High $2,290.87 | Professional | None | $95.50 | $741.31 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $2,344.23 | Facility | None | $1,318.26 | $2,137.96 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,584.89 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $1,584.89 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,584.89 | $2,290.87 | $3,162.28 |
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 $1,380.38 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,380.38 | $1,949.84 | $3,630.78 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,445.44 | $2,137.96 |
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 $776.25 Median $776.25 Typical High $851.14 | Professional | 52 · Reduced service | $776.25 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | 53 · Discontinued | $309.03 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,202.26 |
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 6.8 times more in Alaska than in Texas. 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
$933
AK $4,677TX $692
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.