How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,778 to $23,988Professionalmedian $1,862 · 10th to 90th $309 to $4,571
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 $3,311.31 Median $11,220.18 Typical High $21,877.62 | Facility | None | $3,311.31 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,778.28 Median $18,620.87 Typical High $38,018.94 | Facility | None | $1,778.28 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,630.78 Median $19,054.61 Typical High $20,417.38 | Professional | None | $3,630.78 | $19,054.61 | $20,417.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,606.93 Typical High $11,481.54 | Facility | None | $741.31 | $6,606.93 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,162.28 Typical High $5,623.41 | Professional | None | $2,630.27 | $3,162.28 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $5,888.44 Typical High $8,912.51 | Professional | None | $2,884.03 | $5,888.44 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $1,621.81 Typical High $4,365.16 | Professional | None | $288.40 | $1,621.81 | $4,365.16 |
Pacific Source Setting Facility Modifier None Typical Low $3,090.30 Median $5,128.61 Typical High $5,248.07 | Facility | None | $3,090.30 | $5,128.61 | $5,248.07 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,041.74 | $5,495.41 | $8,912.51 |
Premera BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $19,498.45 Typical High $38,018.94 | Facility | None | $14,454.40 | $19,498.45 | $38,018.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $6,025.60 | Professional | None | $3,630.78 | $3,630.78 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $3,090.30 Median $3,715.35 Typical High $7,244.36 | Professional | None | $3,090.30 | $3,715.35 | $7,244.36 |
Wellpoint Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $4,786.30 | Professional | None | $2,344.23 | $3,162.28 | $4,786.30 |
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,344.23 | $2,344.23 |
Where Washington sits
The same service costs 8.7 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
$1,905
AK $10,715TX $1,230
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.