How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,148 to $26,915Professionalmedian $1,230 · 10th to 90th $214 to $2,951
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 $2,137.96 Median $12,302.69 Typical High $25,118.86 | Facility | None | $2,137.96 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,584.89 | $2,137.96 | $2,344.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,148.15 Median $18,620.87 Typical High $38,018.94 | Facility | None | $1,148.15 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,344.23 Median $13,182.57 Typical High $16,982.44 | Professional | None | $2,344.23 | $13,182.57 | $16,982.44 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,309.57 Typical High $11,481.54 | Facility | None | $741.31 | $6,309.57 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $3,630.78 | Professional | None | $1,698.24 | $2,041.74 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $4,365.16 Typical High $8,912.51 | Professional | None | $1,905.46 | $4,365.16 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,047.13 Typical High $2,818.38 | Professional | None | $204.17 | $1,047.13 | $2,818.38 |
Pacific Source Setting Facility Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $3,388.44 | Facility | None | $2,454.71 | $3,235.94 | $3,388.44 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,344.23 | Facility | None | $2,290.87 | $2,290.87 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | None | $2,344.23 | $2,344.23 | $3,890.45 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $4,786.30 | Professional | None | $1,995.26 | $2,398.83 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,162.28 | Professional | None | $1,513.56 | $2,041.74 | $3,162.28 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,513.56 |
Where Washington sits
The same service costs 9.3 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· 49th of 51
$1,230
AK $6,918TX $741
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.