How much rates vary
Facilitymedian $2,138 · 10th to 90th $832 to $12,023Professionalmedian $708 · 10th to 90th $135 to $1,738
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 $1,230.27 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,230.27 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Professional | None | $1,230.27 | $1,230.27 | $1,318.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $12,302.69 | Facility | None | $676.08 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,288.25 Median $6,606.93 Typical High $7,762.47 | Professional | None | $1,288.25 | $6,606.93 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,238.72 Typical High $4,073.80 | Facility | None | $707.95 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,041.74 | Professional | None | $870.96 | $1,047.13 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,949.84 Typical High $3,162.28 | Professional | None | $870.96 | $1,949.84 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $602.56 Typical High $1,621.81 | Professional | None | $128.82 | $602.56 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $977.24 Median $1,737.80 Typical High $1,862.09 | Facility | None | $977.24 | $1,737.80 | $1,862.09 |
Premera BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,096.48 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,288.25 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,513.56 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,511.89 | Professional | None | $954.99 | $1,258.93 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,949.84 | Professional | None | $912.01 | $1,230.27 | $1,949.84 |
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 $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Where Washington sits
The same service costs 7.6 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
$724
AK $3,802TX $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.