How much rates vary
Facilitymedian $1,660 · 10th to 90th $646 to $11,749Professionalmedian $427 · 10th to 90th $51 to $933
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 $645.65 Median $6,165.95 Typical High $20,892.96 | Facility | None | $645.65 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $645.65 | Professional | None | $489.78 | $537.03 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $1,148.15 Typical High $12,302.69 | Facility | None | $251.19 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $4,168.69 | Professional | None | $501.19 | $891.25 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,949.84 Typical High $3,548.13 | Facility | None | $630.96 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $954.99 | Professional | None | $489.78 | $616.60 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $977.24 Typical High $2,630.27 | Professional | None | $478.63 | $977.24 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $331.13 Typical High $891.25 | Professional | None | $46.77 | $331.13 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,000.00 | Facility | None | $691.83 | $912.01 | $1,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,318.26 Typical High $2,344.23 | Facility | None | $891.25 | $1,318.26 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | None | $501.19 | $501.19 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $977.24 | Professional | None | $501.19 | $645.65 | $977.24 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,148.15 | Professional | None | $478.63 | $645.65 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $724.44 | Professional | None | $346.74 | $489.78 | $724.44 |
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 $245.47 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $245.47 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $97.72 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $398.11 Typical High $478.63 | Professional | 54 · Surgery only | $363.08 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $81.28 Typical High $97.72 | Professional | 55 · Aftercare only | $72.44 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $53.70 Typical High $64.57 | Professional | 56 · Pre-op care only | $48.98 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $371.54 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $338.84 | $371.54 | $446.68 |
Where Washington sits
The same service costs 6.0 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· 44th of 51
$437
AK $1,778TX $295
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.