How much rates vary
Facilitymedian $2,399 · 10th to 90th $891 to $13,183Professionalmedian $832 · 10th to 90th $102 to $1,905
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 $1,288.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,288.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,288.25 | $1,288.25 | $1,380.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $1,621.81 Typical High $13,803.84 | Facility | None | $691.83 | $1,621.81 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,380.38 Median $7,244.36 Typical High $7,943.28 | Professional | None | $1,380.38 | $7,244.36 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,630.27 Typical High $4,786.30 | Facility | None | $891.25 | $2,630.27 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,174.90 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $4,073.80 | Professional | None | $1,584.89 | $2,454.71 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $588.84 Typical High $1,737.80 | Professional | None | $93.33 | $588.84 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,862.09 | $1,995.26 |
Premera BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $3,311.31 | Facility | None | $707.95 | $1,905.46 | $3,311.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $10,471.29 Typical High $19,952.62 | Facility | None | $6,918.31 | $10,471.29 | $19,952.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,380.38 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $13,803.84 | Facility | None | $1,513.56 | $2,570.40 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $3,162.28 | Professional | None | $1,202.26 | $1,412.54 | $3,162.28 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,949.84 | Professional | None | $933.25 | $1,258.93 | $1,949.84 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $912.01 |
Where Washington sits
The same service costs 8.3 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· 48th of 51
$912
AK $4,074TX $490
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.