How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,349 to $21,878Professionalmedian $1,585 · 10th to 90th $257 to $3,802
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 $2,884.03 Median $11,220.18 Typical High $21,877.62 | Facility | None | $2,884.03 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,513.56 Median $14,791.08 Typical High $30,902.95 | Facility | None | $1,513.56 | $14,791.08 | $30,902.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,162.28 Median $4,677.35 Typical High $22,387.21 | Professional | None | $3,162.28 | $4,677.35 | $22,387.21 |
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 $2,290.87 Median $2,754.23 Typical High $4,897.79 | Professional | None | $2,290.87 | $2,754.23 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $7,585.78 | Professional | None | $2,691.53 | $4,897.79 | $7,585.78 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $1,348.96 Typical High $3,630.78 | Professional | None | $245.47 | $1,348.96 | $3,630.78 |
Pacific Source Setting Facility Modifier None Typical Low $3,548.13 Median $4,466.84 Typical High $4,570.88 | Facility | None | $3,548.13 | $4,466.84 | $4,570.88 |
Premera BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,162.28 | Facility | None | $3,090.30 | $3,090.30 | $3,162.28 |
Premera BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
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 $3,162.28 Median $3,162.28 Typical High $5,248.07 | Professional | None | $3,162.28 | $3,162.28 | $5,248.07 |
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 $2,691.53 Median $3,311.31 Typical High $6,456.54 | Professional | None | $2,691.53 | $3,311.31 | $6,456.54 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,995.26 | $2,691.53 | $4,073.80 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,041.74 | $2,041.74 |
Where Washington sits
The same service costs 21.9 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
$1,585
AK $9,333TX $427
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.