How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $4,786Professionalmedian $2,042 · 10th to 90th $195 to $4,786
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 $3,019.95 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,019.95 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,162.28 | Professional | None | $3,019.95 | $3,019.95 | $3,162.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,698.24 Typical High $14,791.08 | Facility | None | $30.20 | $1,698.24 | $14,791.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,311.31 Median $6,165.95 Typical High $22,908.68 | Professional | None | $3,311.31 | $6,165.95 | $22,908.68 |
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 $2,951.21 Median $3,162.28 Typical High $6,760.83 | Professional | None | $2,951.21 | $3,162.28 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,311.31 Median $4,897.79 Typical High $6,606.93 | Professional | None | $3,311.31 | $4,897.79 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $1,737.80 Typical High $4,570.88 | Professional | None | $186.21 | $1,737.80 | $4,570.88 |
Pacific Source Setting Facility Modifier None Typical Low $3,548.13 Median $4,570.88 Typical High $4,786.30 | Facility | None | $3,548.13 | $4,570.88 | $4,786.30 |
Premera BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,311.31 | Facility | None | $3,235.94 | $3,235.94 | $3,311.31 |
Premera BCBS Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,311.31 Median $4,786.30 Typical High $6,760.83 | Professional | None | $3,311.31 | $4,786.30 | $6,760.83 |
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 $2,570.40 Median $3,981.07 Typical High $7,413.10 | Professional | None | $2,570.40 | $3,981.07 | $7,413.10 |
Wellpoint Setting Professional Modifier None Typical Low $3,019.95 Median $3,162.28 Typical High $4,466.84 | Professional | None | $3,019.95 | $3,162.28 | $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 $1,513.56 Median $1,513.56 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | 53 · Discontinued | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,290.87 Typical High $2,398.83 | Professional | 54 · Surgery only | $2,290.87 | $2,290.87 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $457.09 Typical High $478.63 | Professional | 55 · Aftercare only | $457.09 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | 56 · Pre-op care only | $302.00 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,137.96 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,137.96 | $2,238.72 |
Where Washington sits
The same service costs 6.3 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· 48th of 51
$1,950
AK $9,772TX $1,549
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.