How much rates vary
Facilitymedian $1,318 · 10th to 90th $646 to $7,586Professionalmedian $794 · 10th to 90th $105 to $1,549
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 $851.14 Median $8,317.64 Typical High $21,877.62 | Facility | None | $851.14 | $8,317.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,348.96 | Professional | None | $676.08 | $870.96 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,659.59 | Professional | None | $933.25 | $933.25 | $1,659.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $1,148.15 Typical High $7,079.46 | Facility | None | $512.86 | $1,148.15 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $7,079.46 | Professional | None | $891.25 | $1,047.13 | $7,079.46 |
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 $776.25 Median $912.01 Typical High $1,819.70 | Professional | None | $776.25 | $912.01 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,023.29 | $1,584.89 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $501.19 Typical High $1,479.11 | Professional | None | $93.33 | $501.19 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $1,548.82 | Facility | None | $1,071.52 | $1,445.44 | $1,548.82 |
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 $912.01 Median $912.01 Typical High $1,047.13 | Professional | None | $912.01 | $912.01 | $1,047.13 |
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 $891.25 Median $1,047.13 Typical High $1,698.24 | Professional | None | $891.25 | $1,047.13 | $1,698.24 |
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 $831.76 Median $1,023.29 Typical High $2,089.30 | Professional | None | $831.76 | $1,023.29 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,202.26 | Professional | None | $575.44 | $812.83 | $1,202.26 |
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 $426.58 Median $457.09 Typical High $501.19 | Professional | 52 · Reduced service | $426.58 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $186.21 Typical High $199.53 | Professional | 53 · Discontinued | $169.82 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $691.83 Typical High $758.58 | Professional | 54 · Surgery only | $645.65 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $138.04 Typical High $151.36 | Professional | 55 · Aftercare only | $128.82 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $100.00 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $645.65 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $602.56 | $645.65 | $707.95 |
Where Washington sits
The same service costs 4.6 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· 33rd of 51
$813
AK $2,692TX $589
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.