How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $3,890Professionalmedian $1,380 · 10th to 90th $229 to $3,981
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 $2,754.23 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,754.23 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,951.21 | Professional | None | $2,754.23 | $2,754.23 | $2,951.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,288.25 Typical High $12,302.69 | Facility | None | $30.20 | $1,288.25 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,691.53 Median $14,125.38 Typical High $14,791.08 | Professional | None | $2,691.53 | $14,125.38 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $5,623.41 | Professional | None | $2,344.23 | $2,570.40 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $5,128.61 | Professional | None | $2,511.89 | $3,981.07 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $1,122.02 Typical High $3,801.89 | Professional | None | $218.78 | $1,122.02 | $3,801.89 |
Pacific Source Setting Facility Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $3,890.45 | Facility | None | $2,344.23 | $3,715.35 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Premera BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $5,248.07 | Professional | None | $2,691.53 | $3,890.45 | $5,248.07 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $6,025.60 | Professional | None | $2,344.23 | $3,311.31 | $6,025.60 |
Wellpoint Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $3,630.78 | Professional | None | $2,344.23 | $2,454.71 | $3,630.78 |
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 $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $588.84 | Professional | 53 · Discontinued | $549.54 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,238.72 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $2,089.30 |
Where Washington sits
The same service costs 7.8 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· 49th of 51
$1,380
AK $7,762TX $1,000
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.