How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,047 to $20,893Professionalmedian $1,122 · 10th to 90th $182 to $2,754
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 $1,071.52 Median $15,848.93 Typical High $32,359.37 | Facility | None | $1,071.52 | $15,848.93 | $32,359.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,311.31 Typical High $16,982.44 | Professional | None | $2,238.72 | $3,311.31 | $16,982.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,897.79 Typical High $9,120.11 | Facility | None | $707.95 | $4,897.79 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $3,548.13 | Professional | None | $1,659.59 | $1,949.84 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $4,073.80 Typical High $7,413.10 | Professional | None | $1,737.80 | $4,073.80 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $977.24 Typical High $2,630.27 | Professional | None | $169.82 | $977.24 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $3,388.44 | Facility | None | $2,344.23 | $3,162.28 | $3,388.44 |
Premera BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $6,165.95 | Facility | None | $1,862.09 | $3,311.31 | $6,165.95 |
Premera BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
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 $2,238.72 Median $2,238.72 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,238.72 | $3,715.35 |
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 $1,905.46 Median $2,344.23 Typical High $4,570.88 | Professional | None | $1,905.46 | $2,344.23 | $4,570.88 |
Wellpoint Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,905.46 | $2,951.21 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
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 20.4 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
$1,148
AK $6,607TX $324
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.