How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,000 to $19,055Professionalmedian $741 · 10th to 90th $93 to $1,820
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 $1,318.26 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,318.26 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,318.26 | $1,445.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $724.44 Median $18,620.87 Typical High $38,018.94 | Facility | None | $724.44 | $18,620.87 | $38,018.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $8,709.64 | Professional | None | $1,412.54 | $2,089.30 | $8,709.64 |
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 $1,047.13 Median $1,230.27 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,230.27 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,148.15 | $2,137.96 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $660.69 Typical High $1,698.24 | Professional | None | $85.11 | $660.69 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,445.44 | $1,778.28 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,445.44 | Facility | None | $1,412.54 | $1,412.54 | $1,445.44 |
Premera BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
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 $1,412.54 Median $1,412.54 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,412.54 | $2,344.23 |
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 $1,174.90 Median $1,479.11 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,479.11 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,995.26 | Professional | None | $954.99 | $1,288.25 | $1,995.26 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Where Washington sits
The same service costs 18.2 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
$759
AK $4,266TX $234
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.