How much rates vary
Facilitymedian $1,778 · 10th to 90th $676 to $12,303Professionalmedian $776 · 10th to 90th $95 to $1,862
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 $1,348.96 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,348.96 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,348.96 | $1,479.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $724.44 Median $1,659.59 Typical High $12,302.69 | Facility | None | $724.44 | $1,659.59 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,445.44 Median $7,585.78 Typical High $8,511.38 | Professional | None | $1,445.44 | $7,585.78 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,238.72 Typical High $4,073.80 | Facility | None | $1,000.00 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,230.27 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,148.15 | $2,137.96 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $676.08 Typical High $1,737.80 | Professional | None | $87.10 | $676.08 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $2,089.30 | Facility | None | $1,584.89 | $1,949.84 | $2,089.30 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,584.89 Typical High $2,691.53 | Facility | None | $691.83 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
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 $1,445.44 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,445.44 | $2,398.83 |
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 $1,174.90 Median $1,479.11 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,479.11 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,041.74 | Professional | None | $977.24 | $1,318.26 | $2,041.74 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
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· 48th of 51
$794
AK $4,266TX $562
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.