How much rates vary
Facilitymedian $3,631 · 10th to 90th $891 to $20,417Professionalmedian $661 · 10th to 90th $123 to $1,479
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 $977.24 Median $9,549.93 Typical High $21,877.62 | Facility | None | $977.24 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,071.52 | Professional | None | $870.96 | $933.25 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $426.58 Median $1,621.81 Typical High $22,387.21 | Facility | None | $426.58 | $1,621.81 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $6,456.54 | Professional | None | $891.25 | $1,479.11 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,801.89 Typical High $7,244.36 | Facility | None | $891.25 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,621.81 | Professional | None | $741.31 | $933.25 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,584.89 Typical High $5,370.32 | Professional | None | $724.44 | $1,584.89 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $501.19 Typical High $1,412.54 | Professional | None | $114.82 | $501.19 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,548.82 | Facility | None | $891.25 | $1,479.11 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $5,888.44 | Facility | None | $1,000.00 | $3,311.31 | $5,888.44 |
Premera BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None | $870.96 | $870.96 | $1,071.52 |
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 $891.25 Median $1,122.02 Typical High $1,659.59 | Professional | None | $891.25 | $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 $1,023.29 Typical High $1,949.84 | Professional | None | $758.58 | $1,023.29 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,230.27 | Professional | None | $575.44 | $812.83 | $1,230.27 |
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 $426.58 Median $467.74 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $93.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $87.10 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $758.58 |
Where Washington sits
The same service costs 6.6 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· 45th of 51
$676
AK $3,020TX $457
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.