How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,288 to $50,119Professionalmedian $1,175 · 10th to 90th $170 to $2,884
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 $2,089.30 Median $13,803.84 Typical High $23,988.33 | Facility | None | $2,089.30 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,089.30 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,122.02 Median $46,773.51 Typical High $95,499.26 | Facility | None | $1,122.02 | $46,773.51 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $11,748.98 Typical High $12,882.50 | Professional | None | $2,238.72 | $11,748.98 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,882.50 Typical High $23,442.29 | Facility | None | $741.31 | $12,882.50 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,659.59 | $1,995.26 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $4,265.80 Typical High $18,197.01 | Professional | None | $1,819.70 | $4,265.80 | $18,197.01 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $1,023.29 Typical High $2,691.53 | Professional | None | $162.18 | $1,023.29 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $3,311.31 | Facility | None | $1,995.26 | $3,162.28 | $3,311.31 |
Premera BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,238.72 | Facility | None | $2,187.76 | $2,187.76 | $2,238.72 |
Premera BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $37,153.52 Median $50,118.72 Typical High $95,499.26 | Facility | None | $37,153.52 | $50,118.72 | $95,499.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,238.72 | $3,715.35 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $50,118.72 | Facility | None | $3,801.89 | $7,244.36 | $50,118.72 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,570.88 | Professional | None | $1,905.46 | $2,344.23 | $4,570.88 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,995.26 | $3,019.95 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,445.44 |
Where Washington sits
The same service costs 17.0 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
$1,202
AK $6,607TX $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.