How much rates vary
Facilitymedian $3,467 · 10th to 90th $955 to $20,417Professionalmedian $724 · 10th to 90th $93 to $1,738
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 $1,318.26 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,318.26 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,318.26 | Professional | None | $977.24 | $1,318.26 | $1,318.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $15,848.93 Typical High $32,359.37 | Facility | None | $676.08 | $15,848.93 | $32,359.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $9,120.11 | Professional | None | $1,380.38 | $2,041.74 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $7,244.36 | Facility | None | $707.95 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,348.96 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $5,754.40 | Professional | None | $1,288.25 | $2,884.03 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $630.96 Typical High $1,659.59 | Professional | None | $85.11 | $630.96 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,238.72 | Facility | None | $1,659.59 | $1,949.84 | $2,238.72 |
Premera BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,778.28 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $1,380.38 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,380.38 | $2,344.23 |
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 $1,202.26 Median $1,479.11 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,479.11 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,905.46 | Professional | None | $912.01 | $1,230.27 | $1,905.46 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Where Washington sits
The same service costs 18.2 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
$741
AK $3,981TX $219
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.