How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,349 to $21,878Professionalmedian $1,862 · 10th to 90th $339 to $4,571
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 $3,548.13 Median $11,220.18 Typical High $21,877.62 | Facility | None | $3,548.13 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,778.28 Median $15,488.17 Typical High $30,902.95 | Facility | None | $1,778.28 | $15,488.17 | $30,902.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $33,113.11 | Professional | None | $3,801.89 | $5,623.41 | $33,113.11 |
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 $2,818.38 Median $3,388.44 Typical High $6,025.60 | Professional | None | $2,818.38 | $3,388.44 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $5,370.32 Typical High $7,585.78 | Professional | None | $2,951.21 | $5,370.32 | $7,585.78 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $1,621.81 Typical High $4,365.16 | Professional | None | $331.13 | $1,621.81 | $4,365.16 |
Pacific Source Setting Facility Modifier None Typical Low $3,801.89 Median $4,897.79 Typical High $5,495.41 | Facility | None | $3,801.89 | $4,897.79 | $5,495.41 |
Premera BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,748.98 Median $15,848.93 Typical High $30,902.95 | Facility | None | $11,748.98 | $15,848.93 | $30,902.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $6,309.57 | Professional | None | $3,801.89 | $3,801.89 | $6,309.57 |
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 $3,235.94 Median $3,981.07 Typical High $7,762.47 | Professional | None | $3,235.94 | $3,981.07 | $7,762.47 |
Wellpoint Setting Professional Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $4,897.79 | Professional | None | $2,398.83 | $3,235.94 | $4,897.79 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | 54 · Surgery only | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $2,454.71 | $2,454.71 | $2,454.71 |
Where Washington sits
The same service costs 20.9 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
$1,905
AK $11,220TX $537
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.