How much rates vary
Facilitymedian $1,585 · 10th to 90th $776 to $6,026Professionalmedian $1,259 · 10th to 90th $251 to $3,020
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 $2,238.72 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,238.72 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,454.71 | Professional | None | $2,238.72 | $2,238.72 | $2,454.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,202.26 Median $4,677.35 Typical High $9,332.54 | Facility | None | $1,202.26 | $4,677.35 | $9,332.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $17,378.01 | Professional | None | $2,398.83 | $3,548.13 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,290.87 | Facility | None | $707.95 | $1,230.27 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,137.96 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $4,265.80 | Professional | None | $1,023.29 | $1,905.46 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $1,096.48 Typical High $2,951.21 | Professional | None | $239.88 | $1,096.48 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $3,548.13 | Facility | None | $2,754.23 | $3,467.37 | $3,548.13 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,737.80 | Facility | None | $741.31 | $1,071.52 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,630.78 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,981.07 | Professional | None | $2,398.83 | $2,398.83 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $6,309.57 | Facility | None | $1,202.26 | $1,949.84 | $6,309.57 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $4,897.79 | Professional | None | $2,089.30 | $2,511.89 | $4,897.79 |
Wellpoint Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,584.89 | $2,137.96 | $3,311.31 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,584.89 |
Where Washington sits
The same service costs 21.4 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
$1,259
AK $7,244TX $339
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.