How much rates vary
Facilitymedian $5,754 · 10th to 90th $759 to $25,119Professionalmedian $2,692 · 10th to 90th $479 to $6,607
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 $4,168.69 Median $11,220.18 Typical High $21,877.62 | Facility | None | $4,168.69 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $2,570.40 Typical High $25,118.86 | Facility | None | $588.84 | $2,570.40 | $25,118.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5,248.07 Median $28,183.83 Typical High $29,512.09 | Professional | None | $5,248.07 | $28,183.83 | $29,512.09 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,888.44 Typical High $11,220.18 | Facility | None | $707.95 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $4,570.88 Typical High $8,128.31 | Professional | None | $3,801.89 | $4,570.88 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,630.78 Median $6,606.93 Typical High $9,772.37 | Professional | None | $3,630.78 | $6,606.93 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $2,290.87 Typical High $6,309.57 | Professional | None | $457.09 | $2,290.87 | $6,309.57 |
Pacific Source Setting Facility Modifier None Typical Low $4,677.35 Median $6,606.93 Typical High $7,585.78 | Facility | None | $4,677.35 | $6,606.93 | $7,585.78 |
Premera BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,248.07 | Facility | None | $5,128.61 | $5,128.61 | $5,248.07 |
Premera BCBS Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $19,498.45 Typical High $38,018.94 | Facility | None | $14,454.40 | $19,498.45 | $38,018.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $8,709.64 | Professional | None | $5,248.07 | $5,248.07 | $8,709.64 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $28,183.83 | Facility | None | $2,089.30 | $3,548.13 | $28,183.83 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $5,370.32 Typical High $10,715.19 | Professional | None | $4,265.80 | $5,370.32 | $10,715.19 |
Wellpoint Setting Professional Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $7,079.46 | Professional | None | $3,388.44 | $4,570.88 | $7,079.46 |
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 52 · Reduced service | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 53 · Discontinued | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | 54 · Surgery only | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 56 · Pre-op care only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $3,388.44 | $3,388.44 | $3,388.44 |
Where Washington sits
The same service costs 20.4 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· 49th of 51
$2,692
AK $15,488TX $759
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.