How much rates vary
Facilitymedian $5,754 · 10th to 90th $955 to $47,863Professionalmedian $575 · 10th to 90th $93 to $1,380
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 $933.25 Median $7,943.28 Typical High $27,542.29 | Facility | None | $933.25 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | None | $933.25 | $933.25 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $36,307.81 Typical High $74,131.02 | Facility | None | $512.86 | $36,307.81 | $74,131.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $5,623.41 Typical High $6,025.60 | Professional | None | $1,000.00 | $5,623.41 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $9,120.11 Typical High $16,595.87 | Facility | None | $741.31 | $9,120.11 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,621.81 | Professional | None | $724.44 | $870.96 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,949.84 Typical High $13,182.57 | Professional | None | $741.31 | $1,949.84 | $13,182.57 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $489.78 Typical High $1,288.25 | Professional | None | $85.11 | $489.78 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,445.44 | Facility | None | $1,000.00 | $1,318.26 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Facility | None | $1,000.00 | $1,000.00 | $1,023.29 |
Premera BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $28,840.32 Median $38,904.51 Typical High $74,131.02 | Facility | None | $28,840.32 | $38,904.51 | $74,131.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,000.00 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $50,118.72 | Facility | None | $2,754.23 | $4,677.35 | $50,118.72 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $2,041.74 | Professional | None | $831.76 | $1,047.13 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,445.44 | Professional | None | $691.83 | $933.25 | $1,445.44 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
Where Washington sits
The same service costs 8.3 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
$575
AK $3,020TX $363
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.