How much rates vary
Facilitymedian $3,981 · 10th to 90th $933 to $19,055Professionalmedian $575 · 10th to 90th $93 to $1,380
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 $933.25 Median $12,302.69 Typical High $25,118.86 | Facility | None | $933.25 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Professional | None | $933.25 | $933.25 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $18,620.87 Typical High $38,018.94 | Facility | None | $512.86 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $5,248.07 Typical High $5,888.44 | Professional | None | $1,000.00 | $5,248.07 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,884.03 Typical High $5,128.61 | Facility | None | $741.31 | $2,884.03 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,584.89 | Professional | None | $724.44 | $851.14 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,905.46 Typical High $3,981.07 | Professional | None | $758.58 | $1,905.46 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $489.78 Typical High $1,288.25 | Professional | None | $85.11 | $489.78 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,445.44 | Facility | None | $933.25 | $1,348.96 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,000.00 | Facility | None | $977.24 | $977.24 | $1,000.00 |
Premera BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
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 $1,000.00 Median $1,000.00 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,000.00 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $13,182.57 | Facility | None | $2,754.23 | $4,677.35 | $13,182.57 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,995.26 | Professional | None | $812.83 | $1,023.29 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $645.65 |
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
$575
AK $2,951TX $389
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.