How much rates vary
Facilitymedian $2,138 · 10th to 90th $832 to $12,023Professionalmedian $661 · 10th to 90th $93 to $1,585
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 $1,122.02 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,122.02 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | None | $1,122.02 | $1,122.02 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $616.60 Median $1,513.56 Typical High $12,302.69 | Facility | None | $616.60 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,174.90 Median $6,025.60 Typical High $7,244.36 | Professional | None | $1,174.90 | $6,025.60 | $7,244.36 |
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 $794.33 Median $933.25 Typical High $1,862.09 | Professional | None | $794.33 | $933.25 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,949.84 Typical High $3,162.28 | Professional | None | $891.25 | $1,949.84 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $575.44 Typical High $1,479.11 | Professional | None | $85.11 | $575.44 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,122.02 | $1,479.11 | $1,698.24 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $1,174.90 Median $1,174.90 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,174.90 | $1,905.46 |
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 $933.25 Median $1,148.15 Typical High $2,290.87 | Professional | None | $933.25 | $1,148.15 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,778.28 | Professional | None | $831.76 | $1,122.02 | $1,778.28 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Where Washington sits
The same service costs 7.4 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
$676
AK $3,467TX $468
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.