How much rates vary
Facilitymedian $1,380 · 10th to 90th $661 to $10,715Professionalmedian $562 · 10th to 90th $102 to $1,259
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 $831.76 Median $6,456.54 Typical High $20,892.96 | Facility | None | $831.76 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $912.01 | Professional | None | $831.76 | $831.76 | $912.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $7,585.78 Typical High $15,848.93 | Facility | None | $446.68 | $7,585.78 | $15,848.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $891.25 Median $4,677.35 Typical High $5,128.61 | Professional | None | $891.25 | $4,677.35 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $3,090.30 | Facility | None | $707.95 | $1,737.80 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $1,659.59 | Professional | None | $630.96 | $758.58 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,630.27 | Professional | None | $977.24 | $1,548.82 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $416.87 Typical High $1,148.15 | Professional | None | $93.33 | $416.87 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $741.31 Median $1,096.48 Typical High $1,318.26 | Facility | None | $741.31 | $1,096.48 | $1,318.26 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,202.26 Typical High $2,089.30 | Facility | None | $724.44 | $1,202.26 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $831.76 Median $891.25 Typical High $1,584.89 | Professional | None | $831.76 | $891.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $11,220.18 | Facility | None | $588.84 | $977.24 | $11,220.18 |
United Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $2,041.74 | Professional | None | $724.44 | $891.25 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,258.93 | Professional | None | $602.56 | $812.83 | $1,258.93 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
Where Washington sits
The same service costs 7.2 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· 45th of 51
$617
AK $2,630TX $363
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.