How much rates vary
Facilitymedian $1,698 · 10th to 90th $794 to $10,715Professionalmedian $776 · 10th to 90th $102 to $1,738
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 $1,202.26 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,202.26 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,380.38 | Professional | None | $1,202.26 | $1,202.26 | $1,380.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $10,964.78 | Facility | None | $630.96 | $1,513.56 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,258.93 Median $6,760.83 Typical High $7,244.36 | Professional | None | $1,258.93 | $6,760.83 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,698.24 Typical High $3,090.30 | Facility | None | $707.95 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $2,344.23 | Professional | None | $933.25 | $1,122.02 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,348.96 | $1,905.46 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $549.54 Typical High $1,584.89 | Professional | None | $93.33 | $549.54 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,174.90 | $1,659.59 | $1,819.70 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $2,089.30 | Facility | None | $870.96 | $1,258.93 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,290.87 | Professional | None | $1,202.26 | $1,258.93 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $11,220.18 | Facility | None | $1,202.26 | $1,949.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $2,951.21 | Professional | None | $1,122.02 | $1,318.26 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,778.28 | Professional | None | $851.14 | $1,148.15 | $1,778.28 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $831.76 |
Where Washington sits
The same service costs 7.1 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· 47th of 51
$851
AK $3,802TX $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.