How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $3,162Professionalmedian $1,380 · 10th to 90th $138 to $3,311
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 $2,041.74 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,041.74 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Professional | None | $2,041.74 | $2,041.74 | $2,089.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,148.15 Typical High $9,772.37 | Facility | None | $30.20 | $1,148.15 | $9,772.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,187.76 Median $12,589.25 Typical High $13,489.63 | Professional | None | $2,187.76 | $12,589.25 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $4,466.84 | Professional | None | $1,949.84 | $2,137.96 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $4,365.16 | Professional | None | $2,187.76 | $3,235.94 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $1,174.90 Typical High $3,090.30 | Professional | None | $131.83 | $1,174.90 | $3,090.30 |
Pacific Source Setting Facility Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,235.94 | Facility | None | $2,454.71 | $3,019.95 | $3,235.94 |
Premera BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,570.88 | Professional | None | $2,187.76 | $3,162.28 | $4,570.88 |
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 $1,995.26 Median $2,754.23 Typical High $5,011.87 | Professional | None | $1,995.26 | $2,754.23 | $5,011.87 |
Wellpoint Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,137.96 | $3,090.30 |
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 $1,023.29 Median $1,023.29 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | 53 · Discontinued | $407.38 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,479.11 |
Where Washington sits
The same service costs 5.5 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
$1,318
AK $6,457TX $1,175
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.