How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,000 to $26,915Professionalmedian $891 · 10th to 90th $135 to $2,138
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 $1,548.82 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,548.82 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,548.82 | $1,548.82 | $1,698.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $851.14 Median $18,620.87 Typical High $38,018.94 | Facility | None | $851.14 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $11,220.18 | Professional | None | $1,659.59 | $2,454.71 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,456.54 Typical High $11,748.98 | Facility | None | $741.31 | $6,456.54 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $2,630.27 | Professional | None | $1,230.27 | $1,445.44 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $3,162.28 Typical High $9,120.11 | Professional | None | $1,348.96 | $3,162.28 | $9,120.11 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $776.25 Typical High $2,041.74 | Professional | None | $128.82 | $776.25 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $2,454.71 | Facility | None | $1,737.80 | $2,238.72 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,621.81 | $1,621.81 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
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 $1,659.59 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,659.59 | $1,659.59 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,412.54 | $1,737.80 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,513.56 | $2,344.23 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,071.52 |
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
$912
AK $5,012TX $575
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.