How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $2,455Professionalmedian $955 · 10th to 90th $158 to $2,692
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 $1,621.81 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,621.81 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $891.25 Typical High $7,585.78 | Facility | None | $30.20 | $891.25 | $7,585.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $8,511.38 Typical High $10,232.93 | Professional | None | $1,659.59 | $8,511.38 | $10,232.93 |
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 $1,479.11 Median $1,621.81 Typical High $3,388.44 | Professional | None | $1,479.11 | $1,621.81 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,513.56 | $2,511.89 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $776.25 Typical High $2,570.40 | Professional | None | $151.36 | $776.25 | $2,570.40 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $2,454.71 | Facility | None | $1,819.70 | $2,344.23 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,659.59 | $2,454.71 | $3,311.31 |
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 $1,513.56 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,513.56 | $2,089.30 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,548.82 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,548.82 | $1,621.81 | $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 $812.83 Median $812.83 Typical High $891.25 | Professional | 52 · Reduced service | $812.83 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 53 · Discontinued | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,230.27 |
Where Washington sits
The same service costs 6.8 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 $724
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.