How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,023 to $20,417Professionalmedian $708 · 10th to 90th $138 to $1,549
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 $794.33 Median $8,912.51 Typical High $25,118.86 | Facility | None | $794.33 | $8,912.51 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,071.52 | Professional | None | $794.33 | $891.25 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $1,659.59 Typical High $22,387.21 | Facility | None | $416.87 | $1,659.59 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $10,000.00 | Professional | None | $851.14 | $1,122.02 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,659.59 | Professional | None | $794.33 | $1,047.13 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,621.81 Typical High $5,370.32 | Professional | None | $776.25 | $1,621.81 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $562.34 Typical High $1,479.11 | Professional | None | $128.82 | $562.34 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $1,584.89 | Facility | None | $954.99 | $1,548.82 | $1,584.89 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,584.89 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,096.48 | Professional | None | $831.76 | $831.76 | $1,096.48 |
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 $851.14 Median $1,122.02 Typical High $1,659.59 | Professional | None | $851.14 | $1,122.02 | $1,659.59 |
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 $758.58 Median $1,047.13 Typical High $1,905.46 | Professional | None | $758.58 | $1,047.13 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,174.90 | Professional | None | $562.34 | $831.76 | $1,174.90 |
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 $398.11 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $398.11 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $213.80 | Professional | 53 · Discontinued | $158.49 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $645.65 Typical High $794.33 | Professional | 54 · Surgery only | $588.84 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $128.82 Typical High $158.49 | Professional | 55 · Aftercare only | $117.49 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $87.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $79.43 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $602.56 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $549.54 | $602.56 | $741.31 |
Where Washington sits
The same service costs 6.2 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· 45th of 51
$724
AK $3,020TX $490
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.