How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,072 to $24,547Professionalmedian $1,995 · 10th to 90th $309 to $4,786
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 $3,548.13 Median $11,220.18 Typical High $21,877.62 | Facility | None | $3,548.13 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $831.76 Median $1,905.46 Typical High $27,542.29 | Facility | None | $831.76 | $1,905.46 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,890.45 Median $20,417.38 Typical High $21,877.62 | Professional | None | $3,890.45 | $20,417.38 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,677.35 Typical High $8,709.64 | Facility | None | $891.25 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $6,025.60 | Professional | None | $2,884.03 | $3,388.44 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $5,128.61 Typical High $7,413.10 | Professional | None | $2,630.27 | $5,128.61 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $1,698.24 Typical High $4,570.88 | Professional | None | $288.40 | $1,698.24 | $4,570.88 |
Pacific Source Setting Facility Modifier None Typical Low $3,311.31 Median $4,677.35 Typical High $5,754.40 | Facility | None | $3,311.31 | $4,677.35 | $5,754.40 |
Premera BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $6,025.60 | Facility | None | $2,344.23 | $3,715.35 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $6,456.54 | Professional | None | $3,890.45 | $3,890.45 | $6,456.54 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $7,943.28 | Professional | None | $3,019.95 | $4,073.80 | $7,943.28 |
Wellpoint Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $5,128.61 | Professional | None | $2,511.89 | $3,388.44 | $5,128.61 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 54 · Surgery only | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,511.89 | $2,511.89 |
Where Washington sits
The same service costs 19.5 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
$2,042
AK $11,482TX $589
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.