How much rates vary
Facilitymedian $2,042 · 10th to 90th $759 to $11,749Professionalmedian $1,413 · 10th to 90th $195 to $3,090
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 $1,513.56 Median $1,513.56 Typical High $1,995.26 | Facility | None | $1,513.56 | $1,513.56 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,513.56 | $1,698.24 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $794.33 Median $9,120.11 Typical High $17,782.79 | Facility | None | $794.33 | $9,120.11 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,884.03 Typical High $13,803.84 | Professional | None | $1,621.81 | $2,884.03 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,122.02 Typical High $2,089.30 | Facility | None | $707.95 | $1,122.02 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,698.24 | $2,137.96 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $3,801.89 | Professional | None | $1,023.29 | $1,995.26 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,122.02 Typical High $2,951.21 | Professional | None | $169.82 | $1,122.02 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $3,467.37 | Facility | None | $2,570.40 | $3,090.30 | $3,467.37 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $1,513.56 | Facility | None | $724.44 | $933.25 | $1,513.56 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,621.81 | $2,137.96 |
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 $1,621.81 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,621.81 | $2,089.30 | $3,235.94 |
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 $1,584.89 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,584.89 | $2,137.96 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,659.59 | $2,290.87 |
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 $758.58 Median $851.14 Typical High $1,000.00 | Professional | 52 · Reduced service | $758.58 | $851.14 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $338.84 Typical High $398.11 | Professional | 53 · Discontinued | $302.00 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $257.04 Typical High $302.00 | Professional | 55 · Aftercare only | $229.09 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $169.82 Typical High $199.53 | Professional | 56 · Pre-op care only | $151.36 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,202.26 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,202.26 | $1,380.38 |
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
$1,413
AK $4,786TX $933
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.