How much rates vary
Facilitymedian $3,548 · 10th to 90th $955 to $20,893Professionalmedian $832 · 10th to 90th $100 to $2,344
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 $1,548.82 Median $9,549.93 Typical High $21,877.62 | Facility | None | $1,548.82 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,348.96 | $1,548.82 | $2,398.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $741.31 Median $16,595.87 Typical High $33,884.42 | Facility | None | $741.31 | $16,595.87 | $33,884.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,513.56 Median $7,943.28 Typical High $8,511.38 | Professional | None | $1,513.56 | $7,943.28 | $8,511.38 |
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 $1,230.27 Median $1,348.96 Typical High $3,162.28 | Professional | None | $1,230.27 | $1,348.96 | $3,162.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $6,309.57 | Professional | None | $1,548.82 | $2,818.38 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $660.69 Typical High $2,238.72 | Professional | None | $95.50 | $660.69 | $2,238.72 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $2,187.76 | Facility | None | $1,288.25 | $2,041.74 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,995.26 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,513.56 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,513.56 | $2,187.76 | $3,019.95 |
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 $1,318.26 Median $1,819.70 Typical High $3,467.37 | Professional | None | $1,318.26 | $1,819.70 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,445.44 | $2,137.96 |
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 $758.58 Median $758.58 Typical High $831.76 | Professional | 52 · Reduced service | $758.58 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $331.13 | Professional | 53 · Discontinued | $309.03 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,148.15 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $11,546MT $3,436
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.