How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $5,370Professionalmedian $2,239 · 10th to 90th $195 to $5,370
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 $3,388.44 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,388.44 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,388.44 | $3,388.44 | $3,548.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,905.46 Typical High $16,595.87 | Facility | None | $30.20 | $1,905.46 | $16,595.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,715.35 Median $19,054.61 Typical High $22,387.21 | Professional | None | $3,715.35 | $19,054.61 | $22,387.21 |
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 $3,235.94 Median $3,467.37 Typical High $7,585.78 | Professional | None | $3,235.94 | $3,467.37 | $7,585.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $7,413.10 | Professional | None | $3,715.35 | $5,495.41 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $1,949.84 Typical High $5,011.87 | Professional | None | $186.21 | $1,949.84 | $5,011.87 |
Pacific Source Setting Facility Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $5,370.32 | Facility | None | $3,890.45 | $5,128.61 | $5,370.32 |
Premera BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,715.35 | Facility | None | $3,630.78 | $3,630.78 | $3,715.35 |
Premera BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $7,585.78 | Professional | None | $3,715.35 | $5,248.07 | $7,585.78 |
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 $2,754.23 Median $4,466.84 Typical High $8,317.64 | Professional | None | $2,754.23 | $4,466.84 | $8,317.64 |
Wellpoint Setting Professional Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $5,011.87 | Professional | None | $3,388.44 | $3,467.37 | $5,011.87 |
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 $1,698.24 Median $1,698.24 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $707.95 | Professional | 53 · Discontinued | $676.08 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,511.89 Typical High $2,630.27 | Professional | 54 · Surgery only | $2,511.89 | $2,511.89 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | 55 · Aftercare only | $512.86 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,398.83 | $2,454.71 |
Where Washington sits
The same service costs 7.0 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $22,987WA $3,262
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.