How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $3,090Professionalmedian $1,318 · 10th to 90th $126 to $3,162
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 $1,995.26 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,995.26 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $2,041.74 | Professional | None | $1,698.24 | $1,995.26 | $2,041.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,122.02 Typical High $9,549.93 | Facility | None | $30.20 | $1,122.02 | $9,549.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,137.96 Median $20,417.38 Typical High $21,877.62 | Professional | None | $2,137.96 | $20,417.38 | $21,877.62 |
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 $1,862.09 Median $2,089.30 Typical High $4,365.16 | Professional | None | $1,862.09 | $2,089.30 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,265.80 | Professional | None | $2,137.96 | $3,162.28 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $1,122.02 Typical High $3,019.95 | Professional | None | $120.23 | $1,122.02 | $3,019.95 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $3,162.28 | Facility | None | $1,819.70 | $2,951.21 | $3,162.28 |
Premera BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,137.96 | Facility | None | $2,089.30 | $2,089.30 | $2,137.96 |
Premera BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $4,365.16 | Professional | None | $2,137.96 | $3,090.30 | $4,365.16 |
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 $1,949.84 Median $2,630.27 Typical High $4,786.30 | Professional | None | $1,949.84 | $2,630.27 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,089.30 | $3,019.95 |
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 $977.24 Median $977.24 Typical High $1,023.29 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 53 · Discontinued | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,445.44 |
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
$1,288
AK $6,310TX $1,148
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.