How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,862 to $20,893Professionalmedian $1,175 · 10th to 90th $195 to $3,388
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 $2,238.72 Median $12,589.25 Typical High $24,547.09 | Facility | None | $2,238.72 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $2,454.71 | Professional | None | $1,698.24 | $2,238.72 | $2,454.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,096.48 Median $3,019.95 Typical High $22,387.21 | Facility | None | $1,096.48 | $3,019.95 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,187.76 Median $12,022.64 Typical High $12,589.25 | Professional | None | $2,187.76 | $12,022.64 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $4,073.80 Typical High $7,413.10 | Facility | None | $1,862.09 | $4,073.80 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $4,570.88 | Professional | None | $1,862.09 | $2,041.74 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $6,309.57 | Professional | None | $2,238.72 | $3,801.89 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $977.24 Typical High $3,235.94 | Professional | None | $186.21 | $977.24 | $3,235.94 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $3,235.94 | Facility | None | $2,187.76 | $3,019.95 | $3,235.94 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,819.70 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,365.16 | Professional | None | $2,187.76 | $3,162.28 | $4,365.16 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $5,011.87 | Professional | None | $1,949.84 | $2,691.53 | $5,011.87 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $3,090.30 | Professional | None | $1,995.26 | $2,089.30 | $3,090.30 |
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 $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | 53 · Discontinued | $446.68 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,698.24 |
Where Washington sits
The same service costs 6.3 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· 49th of 51
$1,259
AK $6,457UT $1,023
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.