How much rates vary
Facilitymedian $1,318 · 10th to 90th $617 to $6,026Professionalmedian $708 · 10th to 90th $98 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 $1,047.13 Median $12,302.69 Typical High $24,547.09 | Facility | None | $1,047.13 | $12,302.69 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,047.13 | Professional | None | $812.83 | $891.25 | $1,047.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $426.58 Median $2,630.27 Typical High $5,888.44 | Facility | None | $426.58 | $2,630.27 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $6,918.31 | Professional | None | $870.96 | $1,096.48 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $1,905.46 | Facility | None | $891.25 | $1,380.38 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,621.81 | Professional | None | $741.31 | $912.01 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,862.09 | Professional | None | $707.95 | $1,122.02 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $575.44 Typical High $1,479.11 | Professional | None | $85.11 | $575.44 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,621.81 | Facility | None | $891.25 | $1,479.11 | $1,621.81 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,412.54 | Facility | None | $562.34 | $831.76 | $1,412.54 |
Premera BCBS Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,122.02 | Professional | None | $891.25 | $891.25 | $1,122.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $8,511.38 | Facility | None | $3,467.37 | $4,570.88 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,698.24 | Professional | None | $870.96 | $1,096.48 | $1,698.24 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,995.26 | Professional | None | $776.25 | $1,023.29 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,202.26 | Professional | None | $575.44 | $812.83 | $1,202.26 |
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 $446.68 Typical High $512.86 | Professional | 52 · Reduced service | $398.11 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $177.83 Typical High $208.93 | Professional | 53 · Discontinued | $162.18 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $602.56 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $154.88 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $89.13 Typical High $104.71 | Professional | 56 · Pre-op care only | $81.28 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $562.34 | $616.60 | $724.44 |
Where Washington sits
The same service costs 5.6 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· 43rd of 51
$724
AK $2,630TX $468
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.