How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,585 to $63,096Professionalmedian $1,862 · 10th to 90th $269 to $4,467
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 $3,090.30 Median $13,803.84 Typical High $23,988.33 | Facility | None | $3,090.30 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,659.59 Median $46,773.51 Typical High $95,499.26 | Facility | None | $1,659.59 | $46,773.51 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,388.44 Median $19,054.61 Typical High $21,877.62 | Professional | None | $3,388.44 | $19,054.61 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,589.25 Typical High $22,908.68 | Facility | None | $741.31 | $12,589.25 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $5,248.07 | Professional | None | $2,511.89 | $3,019.95 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $6,760.83 Typical High $17,782.79 | Professional | None | $3,019.95 | $6,760.83 | $17,782.79 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $1,621.81 Typical High $4,168.69 | Professional | None | $257.04 | $1,621.81 | $4,168.69 |
Pacific Source Setting Facility Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $5,370.32 | Facility | None | $3,801.89 | $4,786.30 | $5,370.32 |
Premera BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,388.44 | Facility | None | $3,311.31 | $3,311.31 | $3,388.44 |
Premera BCBS Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $37,153.52 Median $50,118.72 Typical High $95,499.26 | Facility | None | $37,153.52 | $50,118.72 | $95,499.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,623.41 | Professional | None | $3,388.44 | $3,388.44 | $5,623.41 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $69,183.10 | Facility | None | $3,801.89 | $7,244.36 | $69,183.10 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $6,918.31 | Professional | None | $2,884.03 | $3,548.13 | $6,918.31 |
Wellpoint Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,466.84 | Professional | None | $2,187.76 | $2,951.21 | $4,466.84 |
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,187.76 |
Where Washington sits
The same service costs 25.7 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
$1,862
AK $10,000TX $389
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.