How much rates vary
Facilitymedian $8,913 · 10th to 90th $1,349 to $64,565Professionalmedian $2,239 · 10th to 90th $389 to $5,495
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 $4,073.80 Median $7,943.28 Typical High $27,542.29 | Facility | None | $4,073.80 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,187.76 Median $46,773.51 Typical High $95,499.26 | Facility | None | $2,187.76 | $46,773.51 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,466.84 Median $6,606.93 Typical High $28,183.83 | Professional | None | $4,466.84 | $6,606.93 | $28,183.83 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $19,054.61 Typical High $33,884.42 | Facility | None | $741.31 | $19,054.61 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $6,918.31 | Professional | None | $3,311.31 | $3,890.45 | $6,918.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $8,317.64 Typical High $26,915.35 | Professional | None | $3,388.44 | $8,317.64 | $26,915.35 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $1,949.84 Typical High $5,248.07 | Professional | None | $371.54 | $1,949.84 | $5,248.07 |
Pacific Source Setting Facility Modifier None Typical Low $3,630.78 Median $6,309.57 Typical High $6,456.54 | Facility | None | $3,630.78 | $6,309.57 | $6,456.54 |
Premera BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,365.16 | $4,365.16 | $4,466.84 |
Premera BCBS Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $37,153.52 Median $50,118.72 Typical High $95,499.26 | Facility | None | $37,153.52 | $50,118.72 | $95,499.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $7,413.10 | Professional | None | $4,466.84 | $4,466.84 | $7,413.10 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $69,183.10 | Facility | None | $3,801.89 | $7,244.36 | $69,183.10 |
United Setting Professional Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $9,120.11 | Professional | None | $3,715.35 | $4,677.35 | $9,120.11 |
Wellpoint Setting Professional Modifier None Typical Low $2,884.03 Median $3,890.45 Typical High $5,888.44 | Professional | None | $2,884.03 | $3,890.45 | $5,888.44 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,884.03 | $2,884.03 | $2,884.03 |
Where Washington sits
The same service costs 20.4 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
$2,291
AK $13,183TX $646
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.