How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,549 to $21,878Professionalmedian $955 · 10th to 90th $135 to $2,291
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 $1,737.80 Median $9,549.93 Typical High $24,547.09 | Facility | None | $1,737.80 | $9,549.93 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,737.80 | $1,905.46 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $912.01 Median $15,848.93 Typical High $33,884.42 | Facility | None | $912.01 | $15,848.93 | $33,884.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $12,882.50 | Professional | None | $1,819.70 | $2,691.53 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,168.69 Typical High $7,413.10 | Facility | None | $741.31 | $4,168.69 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,621.81 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $3,311.31 Typical High $5,754.40 | Professional | None | $1,513.56 | $3,311.31 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $831.76 Typical High $2,187.76 | Professional | None | $128.82 | $831.76 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $2,691.53 | Facility | None | $1,905.46 | $2,570.40 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $1,819.70 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,819.70 | $1,819.70 | $3,019.95 |
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 $1,548.82 Median $1,905.46 Typical High $3,715.35 | Professional | None | $1,548.82 | $1,905.46 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,659.59 | $2,511.89 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Where Washington sits
The same service costs 15.1 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· 49th of 51
$977
AK $5,370TX $355
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.