How much rates vary
Facilitymedian $1,380 · 10th to 90th $646 to $7,586Professionalmedian $1,023 · 10th to 90th $151 to $1,995
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 $1,047.13 Median $7,762.47 Typical High $20,892.96 | Facility | None | $1,047.13 | $7,762.47 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,513.56 | Professional | None | $851.14 | $1,096.48 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $524.81 Median $1,513.56 Typical High $7,079.46 | Facility | None | $524.81 | $1,513.56 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $8,511.38 | Professional | None | $1,096.48 | $1,905.46 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,548.82 Typical High $2,691.53 | Facility | None | $707.95 | $1,548.82 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,202.26 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,862.09 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $630.96 Typical High $1,862.09 | Professional | None | $131.83 | $630.96 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,412.54 | $1,905.46 | $1,949.84 |
Premera BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,698.24 | Facility | None | $660.69 | $1,071.52 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,122.02 | $1,380.38 |
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 $1,096.48 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,348.96 | $2,137.96 |
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 $1,023.29 Median $1,318.26 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,318.26 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,479.11 | Professional | None | $707.95 | $1,023.29 | $1,479.11 |
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 $524.81 Median $575.44 Typical High $645.65 | Professional | 52 · Reduced service | $524.81 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $229.09 Typical High $263.03 | Professional | 53 · Discontinued | $208.93 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $851.14 Typical High $977.24 | Professional | 54 · Surgery only | $794.33 | $851.14 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $169.82 Typical High $194.98 | Professional | 55 · Aftercare only | $158.49 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $131.83 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $794.33 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $741.31 | $794.33 | $912.01 |
Where Washington sits
The same service costs 4.5 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· 34th of 51
$1,023
AK $3,311TX $741
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.