How much rates vary
Facilitymedian $4,786 · 10th to 90th $955 to $21,878Professionalmedian $550 · 10th to 90th $93 to $1,318
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 $933.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $933.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | None | $933.25 | $933.25 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $14,791.08 Typical High $30,902.95 | Facility | None | $501.19 | $14,791.08 | $30,902.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $6,918.31 | Professional | None | $1,000.00 | $1,445.44 | $6,918.31 |
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 $724.44 Median $851.14 Typical High $1,548.82 | Professional | None | $724.44 | $851.14 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,905.46 Typical High $7,413.10 | Professional | None | $812.83 | $1,905.46 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $478.63 Typical High $1,258.93 | Professional | None | $85.11 | $478.63 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,288.25 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Premera BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $1,000.00 Median $1,000.00 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,000.00 | $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 $812.83 Median $1,023.29 Typical High $1,995.26 | Professional | None | $812.83 | $1,023.29 | $1,995.26 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
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 19.1 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 $2,884TX $151
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.