How much rates vary
Facilitymedian $3,236 · 10th to 90th $759 to $19,953Professionalmedian $759 · 10th to 90th $98 to $1,622
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 $851.14 Median $3,981.07 Typical High $20,417.38 | Facility | None | $851.14 | $3,981.07 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,047.13 | Professional | None | $851.14 | $933.25 | $1,047.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $457.09 Median $1,148.15 Typical High $22,387.21 | Facility | None | $457.09 | $1,148.15 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $7,244.36 | Professional | None | $891.25 | $1,513.56 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,801.89 Typical High $7,244.36 | Facility | None | $630.96 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,698.24 | Professional | None | $891.25 | $1,047.13 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,698.24 Typical High $5,370.32 | Professional | None | $851.14 | $1,698.24 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $602.56 Typical High $1,548.82 | Professional | None | $85.11 | $602.56 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,000.00 | $1,584.89 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,513.56 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Professional | None | $912.01 | $912.01 | $1,096.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,698.24 | Professional | None | $891.25 | $1,071.52 | $1,698.24 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $2,089.30 | Professional | None | $851.14 | $1,122.02 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,288.25 | Professional | None | $616.60 | $870.96 | $1,288.25 |
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 $426.58 Median $478.63 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $169.82 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $776.25 | Professional | 54 · Surgery only | $645.65 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $158.49 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $104.71 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $724.44 |
Where Washington sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 44th of 51
$776
AK $3,236UT $562
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.