How much rates vary
Facilitymedian $3,467 · 10th to 90th $794 to $20,417Professionalmedian $1,318 · 10th to 90th $204 to $3,715
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 $2,511.89 Median $6,456.54 Typical High $20,892.96 | Facility | None | $2,511.89 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Professional | None | $2,511.89 | $2,511.89 | $2,691.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $22,387.21 | Facility | None | $602.56 | $1,348.96 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,398.83 Median $12,302.69 Typical High $13,803.84 | Professional | None | $2,398.83 | $12,302.69 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,801.89 Typical High $7,244.36 | Facility | None | $630.96 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $5,011.87 | Professional | None | $2,089.30 | $2,290.87 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $4,168.69 Typical High $6,309.57 | Professional | None | $2,511.89 | $4,168.69 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $1,071.52 Typical High $3,630.78 | Professional | None | $194.98 | $1,071.52 | $3,630.78 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $3,467.37 | Facility | None | $1,995.26 | $3,235.94 | $3,467.37 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $2,398.83 Median $3,388.44 Typical High $4,786.30 | Professional | None | $2,398.83 | $3,388.44 | $4,786.30 |
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 $2,089.30 Median $2,884.03 Typical High $5,370.32 | Professional | None | $2,089.30 | $2,884.03 | $5,370.32 |
Wellpoint Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $3,467.37 | Professional | None | $2,187.76 | $2,290.87 | $3,467.37 |
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 $1,258.93 Median $1,258.93 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $537.03 | Professional | 53 · Discontinued | $501.19 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,862.09 | $1,862.09 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $269.15 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $1,905.46 |
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
$1,380
AK $7,079TX $1,000
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.