How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,884Professionalmedian $1,413 · 10th to 90th $115 to $2,884
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 $1,737.80 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,737.80 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,737.80 | $1,737.80 | $1,819.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $977.24 Typical High $8,709.64 | Facility | None | $30.20 | $977.24 | $8,709.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,949.84 Median $9,772.37 Typical High $11,481.54 | Professional | None | $1,949.84 | $9,772.37 | $11,481.54 |
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 $1,698.24 Median $1,905.46 Typical High $3,890.45 | Professional | None | $1,698.24 | $1,905.46 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,187.76 | $2,884.03 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $1,202.26 Typical High $2,691.53 | Professional | None | $109.65 | $1,202.26 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $2,951.21 | Facility | None | $1,659.59 | $2,691.53 | $2,951.21 |
Premera BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $3,981.07 | Professional | None | $1,949.84 | $2,754.23 | $3,981.07 |
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 $1,778.28 Median $2,454.71 Typical High $4,365.16 | Professional | None | $1,778.28 | $2,454.71 | $4,365.16 |
Wellpoint Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $2,570.40 | Professional | None | $1,698.24 | $1,778.28 | $2,570.40 |
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 $870.96 Median $870.96 Typical High $912.01 | Professional | 52 · Reduced service | $870.96 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | 53 · Discontinued | $346.74 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,288.25 |
Where Washington sits
The same service costs 5.2 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· 48th of 51
$1,413
AK $5,623TX $1,072
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.