How much rates vary
Facilitymedian $8,913 · 10th to 90th $1,349 to $64,565Professionalmedian $2,754 · 10th to 90th $447 to $6,607
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 $4,677.35 Median $7,943.28 Typical High $27,542.29 | Facility | None | $4,677.35 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,630.27 Median $46,773.51 Typical High $95,499.26 | Facility | None | $2,630.27 | $46,773.51 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5,370.32 Median $7,943.28 Typical High $31,622.78 | Professional | None | $5,370.32 | $7,943.28 | $31,622.78 |
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 $3,981.07 Median $4,677.35 Typical High $8,317.64 | Professional | None | $3,981.07 | $4,677.35 | $8,317.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,073.80 Median $10,000.00 Typical High $26,915.35 | Professional | None | $4,073.80 | $10,000.00 | $26,915.35 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $2,344.23 Typical High $6,309.57 | Professional | None | $426.58 | $2,344.23 | $6,309.57 |
Pacific Source Setting Facility Modifier None Typical Low $4,570.88 Median $7,585.78 Typical High $7,943.28 | Facility | None | $4,570.88 | $7,585.78 | $7,943.28 |
Premera BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,370.32 | Facility | None | $5,248.07 | $5,248.07 | $5,370.32 |
Premera BCBS Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
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 $5,370.32 Median $5,370.32 Typical High $8,912.51 | Professional | None | $5,370.32 | $5,370.32 | $8,912.51 |
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 $4,570.88 Median $5,623.41 Typical High $10,964.78 | Professional | None | $4,570.88 | $5,623.41 | $10,964.78 |
Wellpoint Setting Professional Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $7,079.46 | Professional | None | $3,467.37 | $4,677.35 | $7,079.46 |
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 52 · Reduced service | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | 54 · Surgery only | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 56 · Pre-op care only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $3,467.37 | $3,467.37 | $3,467.37 |
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
$2,754
AK $15,849TX $776
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.