How much rates vary
Facilitymedian $1,380 · 10th to 90th $525 to $11,482Professionalmedian $550 · 10th to 90th $93 to $1,318
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 $912.01 Median $6,165.95 Typical High $20,892.96 | Facility | None | $912.01 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Professional | None | $912.01 | $912.01 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $12,302.69 | Facility | None | $457.09 | $870.96 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $954.99 Median $4,897.79 Typical High $5,888.44 | Professional | None | $954.99 | $4,897.79 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,089.30 Typical High $3,890.45 | Facility | None | $467.74 | $2,089.30 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,513.56 | Professional | None | $616.60 | $741.31 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,737.80 Typical High $3,162.28 | Professional | None | $691.83 | $1,737.80 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $467.74 Typical High $1,230.27 | Professional | None | $85.11 | $467.74 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,380.38 | Facility | None | $870.96 | $1,230.27 | $1,380.38 |
Premera BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,445.44 Typical High $2,691.53 | Facility | None | $660.69 | $1,445.44 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
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 $954.99 Median $954.99 Typical High $1,548.82 | Professional | None | $954.99 | $954.99 | $1,548.82 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $12,882.50 | Facility | None | $588.84 | $977.24 | $12,882.50 |
United Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,819.70 | Professional | None | $741.31 | $912.01 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,479.11 | Professional | None | $691.83 | $933.25 | $1,479.11 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Where Washington sits
The same service costs 7.8 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· 48th of 51
$562
AK $2,754TX $355
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.