How much rates vary
Facilitymedian $3,020 · 10th to 90th $977 to $20,417Professionalmedian $372 · 10th to 90th $83 to $871
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 $630.96 Median $12,302.69 Typical High $25,118.86 | Facility | None | $630.96 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None | $630.96 | $630.96 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $1,659.59 Typical High $22,387.21 | Facility | None | $338.84 | $1,659.59 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $6,165.95 | Professional | None | $660.69 | $1,000.00 | $6,165.95 |
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 $562.34 Median $676.08 Typical High $1,071.52 | Professional | None | $562.34 | $676.08 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $5,754.40 | Professional | None | $616.60 | $1,412.54 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $331.13 Typical High $831.76 | Professional | None | $83.18 | $331.13 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,047.13 | Facility | None | $588.84 | $954.99 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $977.24 Median $3,548.13 Typical High $6,309.57 | Facility | None | $977.24 | $3,548.13 | $6,309.57 |
Premera BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $660.69 Median $660.69 Typical High $1,122.02 | Professional | None | $660.69 | $660.69 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $22,908.68 | Facility | None | $1,202.26 | $1,949.84 | $22,908.68 |
United Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,380.38 | Professional | None | $602.56 | $724.44 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $954.99 | Professional | None | $457.09 | $616.60 | $954.99 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
Where Washington sits
The same service costs 18.2 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· 49th of 51
$380
AK $1,995TX $110
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.