How much rates vary
Facilitymedian $7,079 · 10th to 90th $977 to $33,113Professionalmedian $2,239 · 10th to 90th $1,585 to $10,715
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 $1,584.89 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,584.89 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,584.89 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $977.24 Median $27,542.29 Typical High $58,884.37 | Facility | None | $977.24 | $27,542.29 | $58,884.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,089.30 Median $4,466.84 Typical High $11,481.54 | Professional | None | $2,089.30 | $4,466.84 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,549.93 Typical High $17,782.79 | Facility | None | $707.95 | $9,549.93 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $7,079.46 Typical High $10,964.78 | Facility | None | $1,096.48 | $7,079.46 | $10,964.78 |
Premera BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $5,888.44 Typical High $11,481.54 | Facility | None | $2,884.03 | $5,888.44 | $11,481.54 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $19,952.62 Median $29,512.09 Typical High $57,543.99 | Facility | None | $19,952.62 | $29,512.09 | $57,543.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $4,168.69 | Professional | None | $2,089.30 | $2,630.27 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $41,686.94 | Facility | None | $2,754.23 | $4,677.35 | $41,686.94 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,630.27 | $4,265.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,698.24 | $2,570.40 |
5 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 $794.33 Median $794.33 Typical High $812.83 | Professional | 52 · Reduced service | $794.33 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 53 · Discontinued | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $162.18 |
Where Washington sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 12th of 51
$3,162
AK $6,457IN $1,318
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.