How much rates vary
Facilitymedian $3,311 · 10th to 90th $794 to $23,442Professionalmedian $457 · 10th to 90th $89 to $1,122
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 $776.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $776.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | None | $776.25 | $776.25 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $436.52 Median $1,513.56 Typical High $27,542.29 | Facility | None | $436.52 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $831.76 Median $5,011.87 Typical High $5,370.32 | Professional | None | $831.76 | $5,011.87 | $5,370.32 |
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 $602.56 Median $724.44 Typical High $1,348.96 | Professional | None | $602.56 | $724.44 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,698.24 Typical High $7,079.46 | Professional | None | $676.08 | $1,698.24 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $389.05 Typical High $1,047.13 | Professional | None | $85.11 | $389.05 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,230.27 | Facility | None | $851.14 | $1,148.15 | $1,230.27 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $3,467.37 Typical High $6,025.60 | Facility | None | $1,047.13 | $3,467.37 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,380.38 | Professional | None | $831.76 | $831.76 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $28,183.83 | Facility | None | $1,513.56 | $2,570.40 | $28,183.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,659.59 | Professional | None | $691.83 | $851.14 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,202.26 | Professional | None | $575.44 | $776.25 | $1,202.26 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Where Washington sits
The same service costs 8.1 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
$468
AK $2,512TX $309
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.