How much rates vary
Facilitymedian $2,455 · 10th to 90th $832 to $12,303Professionalmedian $1,096 · 10th to 90th $68 to $1,905
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 $1,174.90 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,174.90 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Professional | None | $1,174.90 | $1,174.90 | $1,230.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $660.69 Median $8,511.38 Typical High $17,782.79 | Facility | None | $660.69 | $8,511.38 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,318.26 Median $7,762.47 Typical High $7,762.47 | Professional | None | $1,318.26 | $7,762.47 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $3,981.07 | Facility | None | $707.95 | $2,187.76 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,258.93 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,698.24 | $2,187.76 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $1,000.00 Typical High $1,862.09 | Professional | None | $64.57 | $1,000.00 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,041.74 | Facility | None | $1,548.82 | $1,819.70 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $2,238.72 | Facility | None | $1,288.25 | $1,412.54 | $2,238.72 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,862.09 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $12,302.69 | Facility | None | $1,513.56 | $2,570.40 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,659.59 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,202.26 | $1,737.80 |
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 $588.84 Median $588.84 Typical High $616.60 | Professional | 52 · Reduced service | $588.84 | $588.84 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 53 · Discontinued | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 54 · Surgery only | $891.25 | $891.25 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $181.97 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $851.14 |
Where Washington sits
The same service costs 4.6 times more in Wisconsin 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· 46th of 51
$1,148
WI $3,981TX $871
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.