How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,202 to $64,565Professionalmedian $1,175 · 10th to 90th $170 to $2,818
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 $2,041.74 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,041.74 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,238.72 | Professional | None | $2,041.74 | $2,041.74 | $2,238.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,096.48 Median $46,773.51 Typical High $95,499.26 | Facility | None | $1,096.48 | $46,773.51 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,311.31 Typical High $15,135.61 | Professional | None | $2,238.72 | $3,311.31 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,589.25 Typical High $22,908.68 | Facility | None | $741.31 | $12,589.25 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,621.81 | $1,949.84 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $4,168.69 Typical High $17,782.79 | Professional | None | $1,819.70 | $4,168.69 | $17,782.79 |
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 $2,238.72 Median $2,884.03 Typical High $3,235.94 | Facility | None | $2,238.72 | $2,884.03 | $3,235.94 |
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 $69,183.10 | Facility | None | $3,801.89 | $7,244.36 | $69,183.10 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,862.09 | $2,290.87 | $4,466.84 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
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 20.4 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
$1,175
AK $6,607TX $324
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.