How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,096 to $20,417Professionalmedian $575 · 10th to 90th $93 to $1,380
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 $1,348.96 Median $12,589.25 Typical High $24,547.09 | Facility | None | $1,348.96 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | None | $1,000.00 | $1,000.00 | $1,096.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $524.81 Median $2,630.27 Typical High $22,387.21 | Facility | None | $524.81 | $2,630.27 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $7,943.28 | Professional | None | $1,023.29 | $1,548.82 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,073.80 Typical High $7,413.10 | Facility | None | $1,380.38 | $4,073.80 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,621.81 | Professional | None | $794.33 | $954.99 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,754.40 | Professional | None | $794.33 | $2,089.30 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $501.19 Typical High $1,318.26 | Professional | None | $85.11 | $501.19 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,479.11 | Facility | None | $912.01 | $1,258.93 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $3,235.94 Typical High $6,165.95 | Facility | None | $1,000.00 | $3,235.94 | $6,165.95 |
Premera BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $1,023.29 Median $1,023.29 Typical High $1,737.80 | Professional | None | $1,023.29 | $1,023.29 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $22,908.68 | Facility | None | $1,202.26 | $1,949.84 | $22,908.68 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $2,089.30 | Professional | None | $851.14 | $1,096.48 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,479.11 | Professional | None | $707.95 | $954.99 | $1,479.11 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Where Washington sits
The same service costs 17.4 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
$603
AK $3,020TX $174
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.