How much rates vary
Facilitymedian $2,951 · 10th to 90th $955 to $20,417Professionalmedian $1,047 · 10th to 90th $166 to $3,020
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 $1,995.26 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,995.26 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,995.26 | $1,995.26 | $2,187.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $22,387.21 | Facility | None | $831.76 | $1,548.82 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,949.84 Median $10,232.93 Typical High $10,964.78 | Professional | None | $1,949.84 | $10,232.93 | $10,964.78 |
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 $1,621.81 Median $1,778.28 Typical High $4,073.80 | Professional | None | $1,621.81 | $1,778.28 | $4,073.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $3,467.37 Typical High $6,025.60 | Professional | None | $2,041.74 | $3,467.37 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $870.96 Typical High $2,884.03 | Professional | None | $162.18 | $870.96 | $2,884.03 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,187.76 | $2,691.53 | $2,884.03 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,882.50 Median $17,378.01 Typical High $32,359.37 | Facility | None | $12,882.50 | $17,378.01 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,818.38 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $22,908.68 | Facility | None | $1,513.56 | $2,570.40 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $4,365.16 | Professional | None | $1,737.80 | $2,398.83 | $4,365.16 |
Wellpoint Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,737.80 | $1,819.70 | $2,691.53 |
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 $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | 53 · Discontinued | $398.11 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,513.56 |
Where Washington sits
The same service costs 6.5 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
$1,122
AK $5,754TX $891
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.