How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $3,802Professionalmedian $1,585 · 10th to 90th $158 to $3,802
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 $2,454.71 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,454.71 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Professional | None | $2,454.71 | $2,454.71 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,348.96 Typical High $11,748.98 | Facility | None | $30.20 | $1,348.96 | $11,748.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,897.79 Typical High $24,547.09 | Professional | None | $2,630.27 | $4,897.79 | $24,547.09 |
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 $2,344.23 Median $2,570.40 Typical High $5,370.32 | Professional | None | $2,344.23 | $2,570.40 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,981.07 Typical High $5,248.07 | Professional | None | $2,630.27 | $3,981.07 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $1,348.96 Typical High $3,630.78 | Professional | None | $147.91 | $1,348.96 | $3,630.78 |
Pacific Source Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $3,890.45 | Facility | None | $2,951.21 | $3,630.78 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,570.40 | $2,570.40 | $2,630.27 |
Premera BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $5,370.32 | Professional | None | $2,630.27 | $3,801.89 | $5,370.32 |
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 $2,398.83 Median $3,235.94 Typical High $5,888.44 | Professional | None | $2,398.83 | $3,235.94 | $5,888.44 |
Wellpoint Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $3,630.78 | Professional | None | $2,398.83 | $2,511.89 | $3,630.78 |
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 $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 53 · Discontinued | $489.78 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,778.28 |
Where Washington sits
The same service costs 6.2 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
$1,549
AK $7,762TX $1,259
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.