How much rates vary
Facilitymedian $10,233 · 10th to 90th $1,445 to $50,119Professionalmedian $1,514 · 10th to 90th $257 to $3,715
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 $2,454.71 Median $13,803.84 Typical High $23,988.33 | Facility | None | $2,454.71 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Professional | None | $2,454.71 | $2,454.71 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,445.44 Median $44,668.36 Typical High $95,499.26 | Facility | None | $1,445.44 | $44,668.36 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,691.53 Median $14,125.38 Typical High $17,378.01 | Professional | None | $2,691.53 | $14,125.38 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,882.50 Typical High $23,442.29 | Facility | None | $741.31 | $12,882.50 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,949.84 | $2,344.23 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $5,011.87 Typical High $18,197.01 | Professional | None | $2,187.76 | $5,011.87 | $18,197.01 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $1,288.25 Typical High $3,467.37 | Professional | None | $245.47 | $1,288.25 | $3,467.37 |
Pacific Source Setting Facility Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $3,890.45 | Facility | None | $2,754.23 | $3,467.37 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,754.23 | Facility | None | $2,630.27 | $2,630.27 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $33,113.11 Median $48,977.88 Typical High $91,201.08 | Facility | None | $33,113.11 | $48,977.88 | $91,201.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,466.84 | Professional | None | $2,691.53 | $2,691.53 | $4,466.84 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $50,118.72 | Facility | None | $3,801.89 | $7,244.36 | $50,118.72 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $5,495.41 | Professional | None | $2,187.76 | $2,754.23 | $5,495.41 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,570.40 | $3,981.07 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,698.24 |
Where Washington sits
The same service costs 16.2 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
$1,549
AK $8,128TX $501
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.