How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,047 to $56,234Professionalmedian $794 · 10th to 90th $135 to $1,950
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 $1,412.54 Median $13,803.84 Typical High $23,988.33 | Facility | None | $1,412.54 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,412.54 | $1,412.54 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $758.58 Median $36,307.81 Typical High $74,131.02 | Facility | None | $758.58 | $36,307.81 | $74,131.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $11,481.54 | Professional | None | $1,513.56 | $2,238.72 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $19,952.62 Typical High $34,673.69 | Facility | None | $741.31 | $19,952.62 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,318.26 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $26,915.35 | Professional | None | $1,258.93 | $2,884.03 | $26,915.35 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $676.08 Typical High $1,862.09 | Professional | None | $128.82 | $676.08 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $2,187.76 | Facility | None | $1,548.82 | $1,995.26 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,479.11 | $1,479.11 | $1,513.56 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $28,840.32 Median $38,904.51 Typical High $74,131.02 | Facility | None | $28,840.32 | $38,904.51 | $74,131.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,513.56 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $69,183.10 | Facility | None | $2,754.23 | $4,677.35 | $69,183.10 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,584.89 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,380.38 | $2,089.30 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Where Washington sits
The same service costs 9.3 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $26,344KY $2,834
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.