How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,096 to $26,915Professionalmedian $977 · 10th to 90th $135 to $2,399
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 $1,778.28 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,778.28 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,778.28 | $1,778.28 | $1,949.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $954.99 Median $18,620.87 Typical High $38,018.94 | Facility | None | $954.99 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $11,220.18 | Professional | None | $1,905.46 | $2,818.38 | $11,220.18 |
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 $1,412.54 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,412.54 | $1,659.59 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $3,630.78 Typical High $8,912.51 | Professional | None | $1,412.54 | $3,630.78 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $851.14 Typical High $2,290.87 | Professional | None | $128.82 | $851.14 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $2,818.38 | Facility | None | $2,187.76 | $2,691.53 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Facility | None | $1,862.09 | $1,862.09 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
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 $1,905.46 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,905.46 | $1,905.46 | $3,162.28 |
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 $1,584.89 Median $1,995.26 Typical High $3,890.45 | Professional | None | $1,584.89 | $1,995.26 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,698.24 | $2,630.27 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,230.27 |
Where Washington sits
The same service costs 18.6 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
$1,000
AK $5,623TX $302
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.