How much rates vary
Facilitymedian $2,138 · 10th to 90th $776 to $11,749Professionalmedian $1,514 · 10th to 90th $195 to $3,236
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 $1,698.24 Median $1,698.24 Typical High $2,187.76 | Facility | None | $1,698.24 | $1,698.24 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $2,187.76 | Professional | None | $1,698.24 | $1,905.46 | $2,187.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $870.96 Median $9,120.11 Typical High $17,782.79 | Facility | None | $870.96 | $9,120.11 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $14,791.08 | Professional | None | $1,819.70 | $3,162.28 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $2,137.96 | Facility | None | $707.95 | $1,148.15 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,862.09 | $2,238.72 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $3,981.07 | Professional | None | $1,047.13 | $2,137.96 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,202.26 Typical High $3,162.28 | Professional | None | $169.82 | $1,202.26 | $3,162.28 |
Pacific Source Setting Facility Modifier None Typical Low $2,630.27 Median $3,235.94 Typical High $3,630.78 | Facility | None | $2,630.27 | $3,235.94 | $3,630.78 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,513.56 | Facility | None | $741.31 | $933.25 | $1,513.56 |
Premera BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,778.28 | $1,778.28 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $9,549.93 Typical High $17,782.79 | Facility | None | $7,244.36 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,290.87 | $3,467.37 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $12,882.50 | Facility | None | $2,089.30 | $3,548.13 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,737.80 | $2,344.23 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,778.28 | $2,454.71 |
5 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 $851.14 Median $954.99 Typical High $1,071.52 | Professional | 52 · Reduced service | $851.14 | $954.99 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $380.19 Typical High $436.52 | Professional | 53 · Discontinued | $338.84 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $288.40 Typical High $323.59 | Professional | 55 · Aftercare only | $257.04 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $190.55 Typical High $218.78 | Professional | 56 · Pre-op care only | $169.82 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,318.26 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,318.26 | $1,513.56 |
Where Washington sits
The same service costs 5.1 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· 46th of 51
$1,514
AK $5,248TX $1,023
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.