How much rates vary
Facilitymedian $3,890 · 10th to 90th $832 to $23,442Professionalmedian $676 · 10th to 90th $93 to $1,660
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 $1,148.15 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,148.15 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | None | $1,148.15 | $1,148.15 | $1,230.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $27,542.29 | Facility | None | $630.96 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,202.26 Median $6,165.95 Typical High $7,244.36 | Professional | None | $1,202.26 | $6,165.95 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,456.54 Typical High $12,022.64 | Facility | None | $707.95 | $6,456.54 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,905.46 | Professional | None | $812.83 | $954.99 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $2,344.23 Typical High $9,772.37 | Professional | None | $912.01 | $2,344.23 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $575.44 Typical High $1,548.82 | Professional | None | $85.11 | $575.44 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,737.80 | Facility | None | $1,148.15 | $1,548.82 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $4,677.35 Typical High $8,511.38 | Facility | None | $1,096.48 | $4,677.35 | $8,511.38 |
Premera BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,202.26 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $28,183.83 | Facility | None | $1,513.56 | $2,570.40 | $28,183.83 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $2,344.23 | Professional | None | $954.99 | $1,174.90 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,819.70 | Professional | None | $851.14 | $1,148.15 | $1,819.70 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
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· 49th of 51
$692
AK $3,548TX $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.