How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,096 to $20,417Professionalmedian $955 · 10th to 90th $141 to $2,754
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 $1,819.70 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,819.70 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,819.70 | $1,819.70 | $1,949.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $22,387.21 | Facility | None | $870.96 | $1,659.59 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,778.28 Median $9,332.54 Typical High $10,000.00 | Professional | None | $1,778.28 | $9,332.54 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,715.35 | Professional | None | $1,479.11 | $1,621.81 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $6,309.57 | Professional | None | $1,778.28 | $3,235.94 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $794.33 Typical High $2,630.27 | Professional | None | $134.90 | $794.33 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,570.40 | Facility | None | $1,445.44 | $2,290.87 | $2,570.40 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $1,778.28 Median $2,570.40 Typical High $3,548.13 | Professional | None | $1,778.28 | $2,570.40 | $3,548.13 |
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 $1,513.56 Median $2,137.96 Typical High $3,981.07 | Professional | None | $1,513.56 | $2,137.96 | $3,981.07 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,621.81 | $1,659.59 | $2,511.89 |
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 $912.01 Median $912.01 Typical High $977.24 | Professional | 52 · Reduced service | $912.01 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | 53 · Discontinued | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,380.38 |
Where Washington sits
The same service costs 6.6 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
$1,023
AK $5,248TX $794
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.