How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $5,888Professionalmedian $646 · 10th to 90th $98 to $1,413
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 $812.83 Median $6,165.95 Typical High $20,892.96 | Facility | None | $812.83 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $977.24 | Professional | None | $812.83 | $870.96 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $1,148.15 Typical High $5,888.44 | Facility | None | $416.87 | $1,148.15 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $6,165.95 | Professional | None | $812.83 | $1,348.96 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $933.25 Typical High $1,698.24 | Facility | None | $630.96 | $933.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,479.11 | Professional | None | $676.08 | $794.33 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,698.24 | Professional | None | $660.69 | $1,071.52 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $489.78 Typical High $1,348.96 | Professional | None | $85.11 | $489.78 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $1,412.54 | Facility | None | $794.33 | $1,318.26 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,230.27 | Facility | None | $457.09 | $741.31 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | None | $812.83 | $812.83 | $977.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,951.21 | $4,466.84 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,513.56 | Professional | None | $812.83 | $1,000.00 | $1,513.56 |
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 $691.83 Median $912.01 Typical High $1,819.70 | Professional | None | $691.83 | $912.01 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,258.93 | Professional | None | $575.44 | $812.83 | $1,258.93 |
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 $407.38 Median $436.52 Typical High $489.78 | Professional | 52 · Reduced service | $407.38 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $194.98 | Professional | 53 · Discontinued | $162.18 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $660.69 Typical High $741.31 | Professional | 54 · Surgery only | $602.56 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $147.91 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $97.72 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $616.60 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $562.34 | $616.60 | $691.83 |
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· 41st of 51
$646
AK $2,399TX $427
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.