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 $2,398.83 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,398.83 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $2,454.71 | Professional | None | $1,862.09 | $2,398.83 | $2,454.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,348.96 Typical High $11,481.54 | Facility | None | $30.20 | $1,348.96 | $11,481.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,570.40 Median $4,786.30 Typical High $19,498.45 | Professional | None | $2,570.40 | $4,786.30 | $19,498.45 |
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 $2,290.87 Median $2,511.89 Typical High $5,248.07 | Professional | None | $2,290.87 | $2,511.89 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $5,128.61 | Professional | None | $2,570.40 | $3,890.45 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $1,348.96 Typical High $3,548.13 | Professional | None | $147.91 | $1,348.96 | $3,548.13 |
Pacific Source Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $3,801.89 | Facility | None | $2,290.87 | $3,548.13 | $3,801.89 |
Premera BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,570.40 | Facility | None | $2,511.89 | $2,511.89 | $2,570.40 |
Premera BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,715.35 | $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 $2,344.23 Median $3,235.94 Typical High $5,888.44 | Professional | None | $2,344.23 | $3,235.94 | $5,888.44 |
Wellpoint Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $3,548.13 | Professional | None | $2,344.23 | $2,454.71 | $3,548.13 |
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 $1,230.27 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 53 · Discontinued | $478.63 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,737.80 |
Where Washington sits
The same service costs 5.9 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 $7,586TX $1,288
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.