How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,202 to $20,893Professionalmedian $550 · 10th to 90th $93 to $1,288
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 $954.99 Median $12,589.25 Typical High $24,547.09 | Facility | None | $954.99 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | None | $954.99 | $954.99 | $1,047.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $2,630.27 Typical High $22,387.21 | Facility | None | $501.19 | $2,630.27 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $6,606.93 | Professional | None | $1,023.29 | $1,513.56 | $6,606.93 |
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 $741.31 Median $891.25 Typical High $1,621.81 | Professional | None | $741.31 | $891.25 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $2,041.74 Typical High $5,754.40 | Professional | None | $758.58 | $2,041.74 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $478.63 Typical High $1,230.27 | Professional | None | $85.11 | $478.63 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,122.02 | $1,412.54 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,047.13 | $2,884.03 | $4,897.79 |
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 $1,698.24 | Professional | None | $1,023.29 | $1,023.29 | $1,698.24 |
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 $831.76 Median $1,047.13 Typical High $2,089.30 | Professional | None | $831.76 | $1,047.13 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
Where Washington sits
The same service costs 8.5 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
$562
AK $3,020TX $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.