How much rates vary
Facilitymedian $1,905 · 10th to 90th $891 to $12,023Professionalmedian $575 · 10th to 90th $98 to $1,288
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 $870.96 Median $9,549.93 Typical High $21,877.62 | Facility | None | $870.96 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $870.96 | Professional | None | $616.60 | $691.83 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $1,621.81 Typical High $12,302.69 | Facility | None | $338.84 | $1,621.81 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $5,495.41 | Professional | None | $660.69 | $1,230.27 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,238.72 Typical High $4,073.80 | Facility | None | $891.25 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,258.93 | Professional | None | $588.84 | $812.83 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $1,258.93 Typical High $2,951.21 | Professional | None | $588.84 | $1,258.93 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $457.09 Typical High $1,230.27 | Professional | None | $85.11 | $457.09 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,318.26 | Facility | None | $954.99 | $1,258.93 | $1,318.26 |
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 $676.08 Median $676.08 Typical High $912.01 | Professional | None | $676.08 | $676.08 | $912.01 |
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 $660.69 Median $891.25 Typical High $1,380.38 | Professional | None | $660.69 | $891.25 | $1,380.38 |
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 $602.56 Median $870.96 Typical High $1,513.56 | Professional | None | $602.56 | $870.96 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $933.25 | Professional | None | $457.09 | $660.69 | $933.25 |
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 $309.03 Median $346.74 Typical High $436.52 | Professional | 52 · Reduced service | $309.03 | $346.74 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $173.78 | Professional | 53 · Discontinued | $123.03 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $512.86 Typical High $645.65 | Professional | 54 · Surgery only | $457.09 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $128.82 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $69.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $61.66 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $478.63 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $426.58 | $478.63 | $602.56 |
Where Washington sits
The same service costs 5.8 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· 46th of 51
$589
AK $2,455TX $427
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.