How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,047 to $26,915Professionalmedian $813 · 10th to 90th $135 to $1,995
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 $1,412.54 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,412.54 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,412.54 | $1,412.54 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $776.25 Median $18,620.87 Typical High $38,018.94 | Facility | None | $776.25 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,548.82 Median $8,912.51 Typical High $8,912.51 | Professional | None | $1,548.82 | $8,912.51 | $8,912.51 |
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 $1,122.02 Median $1,348.96 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,348.96 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $2,951.21 Typical High $8,912.51 | Professional | None | $1,230.27 | $2,951.21 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $691.83 Typical High $1,862.09 | Professional | None | $128.82 | $691.83 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $2,290.87 | Facility | None | $1,348.96 | $2,089.30 | $2,290.87 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Facility | None | $1,513.56 | $1,513.56 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $1,548.82 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,548.82 | $2,570.40 |
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 $1,258.93 Median $1,584.89 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,584.89 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,380.38 | $2,137.96 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Where Washington sits
The same service costs 8.7 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
$832
AK $4,571TX $525
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.