How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,413 to $20,417Professionalmedian $1,148 · 10th to 90th $186 to $2,818
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 $2,089.30 Median $11,220.18 Typical High $21,877.62 | Facility | None | $2,089.30 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,089.30 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,096.48 Median $14,454.40 Typical High $30,902.95 | Facility | None | $1,096.48 | $14,454.40 | $30,902.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $14,791.08 | Professional | None | $2,187.76 | $3,235.94 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,248.07 Typical High $9,332.54 | Facility | None | $741.31 | $5,248.07 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,659.59 | $1,995.26 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $4,073.80 Typical High $7,413.10 | Professional | None | $1,819.70 | $4,073.80 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,000.00 Typical High $2,691.53 | Professional | None | $169.82 | $1,000.00 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $3,235.94 | Facility | None | $2,454.71 | $3,162.28 | $3,235.94 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $5,248.07 | Facility | None | $1,737.80 | $2,884.03 | $5,248.07 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,471.29 Median $15,488.17 Typical High $29,512.09 | Facility | None | $10,471.29 | $15,488.17 | $29,512.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,630.78 | Professional | None | $2,187.76 | $2,187.76 | $3,630.78 |
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 $1,819.70 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,290.87 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,995.26 | $3,019.95 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
Where Washington sits
The same service costs 19.5 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
$1,175
AK $6,457TX $331
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.