How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,692Professionalmedian $1,175 · 10th to 90th $126 to $2,754
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 $1,698.24 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,698.24 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,778.28 | Professional | None | $1,445.44 | $1,698.24 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $977.24 Typical High $8,317.64 | Facility | None | $30.20 | $977.24 | $8,317.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,862.09 Median $12,302.69 Typical High $12,589.25 | Professional | None | $1,862.09 | $12,302.69 | $12,589.25 |
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 $1,621.81 Median $1,819.70 Typical High $3,801.89 | Professional | None | $1,621.81 | $1,819.70 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,754.23 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $1,000.00 Typical High $2,630.27 | Professional | None | $120.23 | $1,000.00 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $2,691.53 | Facility | None | $2,089.30 | $2,570.40 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Premera BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,801.89 | Professional | None | $1,862.09 | $2,630.27 | $3,801.89 |
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 $1,659.59 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,659.59 | $2,344.23 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,737.80 | $1,819.70 | $2,630.27 |
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 $851.14 Median $851.14 Typical High $891.25 | Professional | 52 · Reduced service | $851.14 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | 53 · Discontinued | $338.84 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,230.27 |
Where Washington sits
The same service costs 5.4 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· 50th of 51
$1,148
AK $5,370TX $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.