How much rates vary
Facilitymedian $4,786 · 10th to 90th $955 to $21,878Professionalmedian $759 · 10th to 90th $135 to $1,820
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 $1,380.38 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,380.38 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,380.38 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $707.95 Median $14,791.08 Typical High $30,902.95 | Facility | None | $707.95 | $14,791.08 | $30,902.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $10,715.19 | Professional | None | $1,479.11 | $2,238.72 | $10,715.19 |
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 $1,071.52 Median $1,258.93 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,258.93 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $3,019.95 Typical High $7,413.10 | Professional | None | $1,318.26 | $3,019.95 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $660.69 Typical High $1,698.24 | Professional | None | $128.82 | $660.69 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $1,258.93 Median $2,089.30 Typical High $2,290.87 | Facility | None | $1,258.93 | $2,089.30 | $2,290.87 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,479.11 | $1,479.11 | $1,513.56 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,479.11 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,479.11 | $2,511.89 |
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 $1,288.25 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,513.56 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,949.84 | Professional | None | $954.99 | $1,288.25 | $1,949.84 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Where Washington sits
The same service costs 17.8 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
$776
AK $4,467TX $251
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.