How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,000 to $20,893Professionalmedian $1,072 · 10th to 90th $166 to $3,090
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 $2,041.74 Median $12,302.69 Typical High $25,118.86 | Facility | None | $2,041.74 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,238.72 | Professional | None | $2,041.74 | $2,041.74 | $2,238.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,000.00 Median $16,595.87 Typical High $33,884.42 | Facility | None | $1,000.00 | $16,595.87 | $33,884.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,041.74 Median $10,715.19 Typical High $11,481.54 | Professional | None | $2,041.74 | $10,715.19 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $7,244.36 | Facility | None | $707.95 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $4,265.80 | Professional | None | $1,698.24 | $1,862.09 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $6,309.57 | Professional | None | $2,187.76 | $3,548.13 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $870.96 Typical High $2,951.21 | Professional | None | $162.18 | $870.96 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $3,019.95 | Facility | None | $1,737.80 | $2,818.38 | $3,019.95 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,897.79 | Facility | None | $2,041.74 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,022.64 Median $16,982.44 Typical High $32,359.37 | Facility | None | $12,022.64 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,041.74 | $2,951.21 | $4,073.80 |
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 $1,819.70 Median $2,454.71 Typical High $4,677.35 | Professional | None | $1,819.70 | $2,454.71 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,819.70 | $1,905.46 | $2,818.38 |
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 $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | 53 · Discontinued | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,548.82 |
Where Washington sits
The same service costs 7.1 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
$1,148
AK $6,026TX $851
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.