How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $4,677Professionalmedian $1,820 · 10th to 90th $263 to $5,129
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 $3,162.28 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,162.28 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,467.37 | Professional | None | $3,162.28 | $3,162.28 | $3,467.37 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,698.24 Typical High $14,454.40 | Facility | None | $30.20 | $1,698.24 | $14,454.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,235.94 Median $16,595.87 Typical High $19,498.45 | Professional | None | $3,235.94 | $16,595.87 | $19,498.45 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,162.28 Typical High $6,606.93 | Professional | None | $2,818.38 | $3,162.28 | $6,606.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $4,786.30 Typical High $6,025.60 | Professional | None | $2,951.21 | $4,786.30 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $1,479.11 Typical High $4,897.79 | Professional | None | $251.19 | $1,479.11 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $4,786.30 | Facility | None | $2,754.23 | $4,466.84 | $4,786.30 |
Premera BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,235.94 | Facility | None | $3,162.28 | $3,162.28 | $3,235.94 |
Premera BCBS Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,235.94 Median $4,677.35 Typical High $6,456.54 | Professional | None | $3,235.94 | $4,677.35 | $6,456.54 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $7,244.36 | Professional | None | $2,884.03 | $4,073.80 | $7,244.36 |
Wellpoint Setting Professional Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,951.21 | $3,090.30 | $4,466.84 |
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 $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | 53 · Discontinued | $630.96 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,398.83 |
Where Washington sits
The same service costs 7.4 times more in Alaska than in Washington. 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 $20,770WA $2,820
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.