How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $4,074Professionalmedian $1,479 · 10th to 90th $229 to $4,365
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 $2,951.21 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,951.21 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,951.21 | $2,951.21 | $3,235.94 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,380.38 Typical High $13,182.57 | Facility | None | $30.20 | $1,380.38 | $13,182.57 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,884.03 Median $15,135.61 Typical High $15,848.93 | Professional | None | $2,884.03 | $15,135.61 | $15,848.93 |
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 $2,511.89 Median $2,818.38 Typical High $6,025.60 | Professional | None | $2,511.89 | $2,818.38 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $5,495.41 | Professional | None | $2,691.53 | $4,365.16 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $1,230.27 Typical High $4,168.69 | Professional | None | $218.78 | $1,230.27 | $4,168.69 |
Pacific Source Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $4,168.69 | Facility | None | $2,511.89 | $3,890.45 | $4,168.69 |
Premera BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,884.03 | Facility | None | $2,818.38 | $2,818.38 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $5,754.40 | Professional | None | $2,884.03 | $4,168.69 | $5,754.40 |
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 $2,511.89 Median $3,548.13 Typical High $6,456.54 | Professional | None | $2,511.89 | $3,548.13 | $6,456.54 |
Wellpoint Setting Professional Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $3,890.45 | Professional | None | $2,511.89 | $2,630.27 | $3,890.45 |
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 $1,479.11 Median $1,479.11 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | 53 · Discontinued | $588.84 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,187.76 Typical High $2,398.83 | Professional | 54 · Surgery only | $2,187.76 | $2,187.76 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,041.74 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,041.74 | $2,238.72 |
Where Washington sits
The same service costs 22.9 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
$1,479
AK $8,511TX $372
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.