How much rates vary
Facilitymedian $4,074 · 10th to 90th $832 to $21,878Professionalmedian $912 · 10th to 90th $129 to $2,570
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 $1,659.59 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,659.59 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,659.59 | $1,659.59 | $1,819.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $812.83 Median $16,595.87 Typical High $33,884.42 | Facility | None | $812.83 | $16,595.87 | $33,884.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $8,709.64 Typical High $9,332.54 | Professional | None | $1,659.59 | $8,709.64 | $9,332.54 |
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 $1,348.96 Median $1,513.56 Typical High $3,467.37 | Professional | None | $1,348.96 | $1,513.56 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $6,025.60 | Professional | None | $1,548.82 | $3,019.95 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $741.31 Typical High $2,454.71 | Professional | None | $123.03 | $741.31 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $2,454.71 | Facility | None | $1,348.96 | $1,995.26 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $3,890.45 | Facility | None | $1,621.81 | $2,511.89 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $1,659.59 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,659.59 | $2,398.83 | $3,311.31 |
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 $1,258.93 Median $1,949.84 Typical High $3,801.89 | Professional | None | $1,258.93 | $1,949.84 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,479.11 | $1,548.82 | $2,344.23 |
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 $831.76 Median $831.76 Typical High $912.01 | Professional | 52 · Reduced service | $831.76 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | 53 · Discontinued | $338.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,288.25 |
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
$955
AK $4,898TX $759
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.