How much rates vary
Facilitymedian $1,622 · 10th to 90th $631 to $11,749Professionalmedian $646 · 10th to 90th $93 to $1,549
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 $1,071.52 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,071.52 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | None | $1,071.52 | $1,071.52 | $1,148.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $1,148.15 Typical High $12,302.69 | Facility | None | $588.84 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,148.15 Median $5,888.44 Typical High $6,918.31 | Professional | None | $1,148.15 | $5,888.44 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $3,890.45 | Facility | None | $630.96 | $2,137.96 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,819.70 | Professional | None | $758.58 | $891.25 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,905.46 Typical High $3,162.28 | Professional | None | $851.14 | $1,905.46 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $549.54 Typical High $1,445.44 | Professional | None | $85.11 | $549.54 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $1,621.81 | Facility | None | $912.01 | $1,445.44 | $1,621.81 |
Premera BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,584.89 Typical High $2,691.53 | Facility | None | $676.08 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,148.15 Median $1,148.15 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,148.15 | $1,862.09 |
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 $870.96 Median $1,096.48 Typical High $2,238.72 | Professional | None | $870.96 | $1,096.48 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,698.24 | Professional | None | $812.83 | $1,096.48 | $1,698.24 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Where Washington sits
The same service costs 8.3 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
$661
AK $3,388TX $407
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.