How much rates vary
Facilitymedian $5,012 · 10th to 90th $912 to $25,704Professionalmedian $1,413 · 10th to 90th $224 to $3,467
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 $2,187.76 Median $12,302.69 Typical High $25,118.86 | Facility | None | $2,187.76 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,238.72 | Professional | None | $2,187.76 | $2,187.76 | $2,238.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,318.26 Median $17,782.79 Typical High $38,018.94 | Facility | None | $1,318.26 | $17,782.79 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,398.83 Median $15,135.61 Typical High $15,848.93 | Professional | None | $2,398.83 | $15,135.61 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $8,709.64 | Facility | None | $707.95 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,089.30 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $4,168.69 Typical High $7,079.46 | Professional | None | $1,659.59 | $4,168.69 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $1,230.27 Typical High $3,235.94 | Professional | None | $208.93 | $1,230.27 | $3,235.94 |
Pacific Source Setting Facility Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $3,630.78 | Facility | None | $2,137.96 | $3,019.95 | $3,630.78 |
Premera BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,454.71 | Facility | None | $2,344.23 | $2,344.23 | $2,454.71 |
Premera BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,882.50 Median $19,054.61 Typical High $36,307.81 | Facility | None | $12,882.50 | $19,054.61 | $36,307.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,073.80 | Professional | None | $2,398.83 | $2,398.83 | $4,073.80 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $4,786.30 | Professional | None | $1,819.70 | $2,454.71 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,344.23 | $3,630.78 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,513.56 |
Where Washington sits
The same service costs 11.2 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· 48th of 51
$1,445
AK $7,244TX $646
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.