How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,096 to $19,055Professionalmedian $1,122 · 10th to 90th $138 to $2,692
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 $1,949.84 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,949.84 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,949.84 | $1,949.84 | $2,137.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,047.13 Median $18,620.87 Typical High $38,018.94 | Facility | None | $1,047.13 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,089.30 Median $10,964.78 Typical High $12,022.64 | Professional | None | $2,089.30 | $10,964.78 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,290.87 Typical High $4,073.80 | Facility | None | $741.31 | $2,290.87 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,862.09 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $3,801.89 | Professional | None | $1,621.81 | $2,511.89 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $977.24 Typical High $2,570.40 | Professional | None | $128.82 | $977.24 | $2,570.40 |
Pacific Source Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $3,090.30 | Facility | None | $1,778.28 | $2,951.21 | $3,090.30 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Facility | None | $2,041.74 | $2,041.74 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
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 $2,089.30 Median $2,089.30 Typical High $3,467.37 | Professional | None | $2,089.30 | $2,089.30 | $3,467.37 |
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 $1,380.38 Median $2,187.76 Typical High $4,265.80 | Professional | None | $1,380.38 | $2,187.76 | $4,265.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,862.09 | $2,884.03 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,348.96 |
Where Washington sits
The same service costs 8.5 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· 48th of 51
$1,148
AK $6,166TX $724
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.