How much rates vary
Facilitymedian $5,370 · 10th to 90th $955 to $26,915Professionalmedian $832 · 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 $1,513.56 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,513.56 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,513.56 | $1,513.56 | $1,659.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $794.33 Median $18,620.87 Typical High $38,018.94 | Facility | None | $794.33 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $10,000.00 | Professional | None | $1,621.81 | $2,398.83 | $10,000.00 |
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 $1,202.26 Median $1,412.54 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,412.54 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $3,090.30 Typical High $8,912.51 | Professional | None | $1,318.26 | $3,090.30 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $724.44 Typical High $1,949.84 | Professional | None | $128.82 | $724.44 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $2,398.83 | Facility | None | $1,380.38 | $2,290.87 | $2,398.83 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,584.89 | $1,584.89 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $1,621.81 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,621.81 | $1,621.81 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $28,183.83 | Facility | None | $2,089.30 | $3,548.13 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $3,311.31 | Professional | None | $1,380.38 | $1,698.24 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,445.44 | $2,187.76 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
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
$851
AK $4,786TX $550
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.