How much rates vary
Facilitymedian $6,918 · 10th to 90th $851 to $47,863Professionalmedian $1,514 · 10th to 90th $1,175 to $9,333
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 $1,380.38 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,380.38 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,380.38 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $794.33 Median $36,307.81 Typical High $74,131.02 | Facility | None | $794.33 | $36,307.81 | $74,131.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $7,943.28 Typical High $9,332.54 | Professional | None | $1,479.11 | $7,943.28 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $12,022.64 Typical High $22,387.21 | Facility | None | $707.95 | $12,022.64 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,258.93 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $18,197.01 | Professional | None | $1,174.90 | $2,884.03 | $18,197.01 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $398.11 Typical High $691.83 | Professional | None | $50.12 | $398.11 | $691.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,187.76 | Facility | None | $1,548.82 | $2,041.74 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,513.56 | Facility | None | $1,445.44 | $1,445.44 | $1,513.56 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,479.11 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,479.11 | $1,479.11 | $2,454.71 |
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 $1,202.26 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,202.26 | $1,513.56 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Where Washington sits
The same service costs 46.8 times more in Alaska than in Hawaii. 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· 28th of 51
$1,514
AK $4,467HI $95.50
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.