How much rates vary
Facilitymedian $1,259 · 10th to 90th $661 to $7,413Professionalmedian $724 · 10th to 90th $107 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 $724.44 Median $5,128.61 Typical High $20,892.96 | Facility | None | $724.44 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,202.26 | Professional | None | $575.44 | $776.25 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $457.09 Median $1,148.15 Typical High $7,079.46 | Facility | None | $457.09 | $1,148.15 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $6,165.95 | Professional | None | $758.58 | $1,348.96 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,548.82 Typical High $2,818.38 | Facility | None | $707.95 | $1,548.82 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,621.81 | Professional | None | $676.08 | $831.76 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,238.72 | Professional | None | $891.25 | $1,412.54 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $478.63 Typical High $1,380.38 | Professional | None | $93.33 | $478.63 | $1,380.38 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,445.44 | Facility | None | $933.25 | $1,318.26 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,698.24 | Facility | None | $660.69 | $1,047.13 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | None | $776.25 | $776.25 | $977.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $10,000.00 | Facility | None | $3,548.13 | $5,370.32 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,513.56 | Professional | None | $758.58 | $954.99 | $1,513.56 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $8,128.31 | Facility | None | $588.84 | $977.24 | $8,128.31 |
United Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,862.09 | Professional | None | $707.95 | $912.01 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Professional | None | $691.83 | $851.14 | $1,071.52 |
6 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 $363.08 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $363.08 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $158.49 Typical High $186.21 | Professional | 53 · Discontinued | $144.54 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $549.54 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $79.43 Typical High $93.33 | Professional | 56 · Pre-op care only | $72.44 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $645.65 |
Where Washington sits
The same service costs 4.3 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· 28th of 51
$759
AK $2,291TX $537
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.