How much rates vary
Facilitymedian $1,862 · 10th to 90th $794 to $12,023Professionalmedian $617 · 10th to 90th $72 to $1,380
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 $912.01 Median $11,220.18 Typical High $21,877.62 | Facility | None | $912.01 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,023.29 | Professional | None | $912.01 | $912.01 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $1,513.56 Typical High $12,302.69 | Facility | None | $501.19 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $977.24 Median $5,370.32 Typical High $5,623.41 | Professional | None | $977.24 | $5,370.32 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,238.72 Typical High $4,073.80 | Facility | None | $707.95 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,548.82 | Professional | None | $758.58 | $891.25 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,778.28 Typical High $3,162.28 | Professional | None | $724.44 | $1,778.28 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $549.54 Typical High $1,258.93 | Professional | None | $63.10 | $549.54 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,023.29 | $1,288.25 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,584.89 Typical High $2,691.53 | Facility | None | $870.96 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,659.59 | Professional | None | $977.24 | $977.24 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,995.26 | Professional | None | $794.33 | $1,047.13 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,380.38 | Professional | None | $676.08 | $912.01 | $1,380.38 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Where Washington sits
The same service costs 6.6 times more in Alaska than in Utah. 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· 47th of 51
$646
AK $2,951UT $447
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.