How much rates vary
Facilitymedian $2,884 · 10th to 90th $891 to $5,754Professionalmedian $1,380 · 10th to 90th $275 to $3,981
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 $2,570.40 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,570.40 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,818.38 | Professional | None | $2,570.40 | $2,570.40 | $2,818.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,318.26 Typical High $12,589.25 | Facility | None | $30.20 | $1,318.26 | $12,589.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $26,915.35 | Professional | None | $2,754.23 | $5,128.61 | $26,915.35 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $5,754.40 | Professional | None | $2,454.71 | $2,691.53 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $5,128.61 | Professional | None | $2,570.40 | $4,073.80 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $1,202.26 Typical High $3,801.89 | Professional | None | $263.03 | $1,202.26 | $3,801.89 |
Pacific Source Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $4,073.80 | Facility | None | $3,019.95 | $3,890.45 | $4,073.80 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,754.23 | Facility | None | $2,691.53 | $2,691.53 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $3,981.07 Typical High $5,495.41 | Professional | None | $2,754.23 | $3,981.07 | $5,495.41 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $5,754.40 | Facility | None | $1,698.24 | $2,951.21 | $5,754.40 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $6,309.57 | Professional | None | $2,454.71 | $3,467.37 | $6,309.57 |
Wellpoint Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $3,630.78 | Professional | None | $2,344.23 | $2,454.71 | $3,630.78 |
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 $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | 53 · Discontinued | $512.86 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,949.84 | $1,949.84 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,819.70 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $1,949.84 |
Where Washington sits
The same service costs 8.5 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· 49th of 51
$1,413
AK $8,128TX $955
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.