How much rates vary
Facilitymedian $955 · 10th to 90th $589 to $2,512Professionalmedian $1,202 · 10th to 90th $102 to $2,455
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 $1,513.56 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,513.56 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,584.89 | Professional | None | $1,513.56 | $1,513.56 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $851.14 Typical High $7,585.78 | Facility | None | $30.20 | $851.14 | $7,585.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $15,135.61 | Professional | None | $1,698.24 | $3,090.30 | $15,135.61 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,388.44 | Professional | None | $1,479.11 | $1,621.81 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,311.31 | Professional | None | $1,698.24 | $2,511.89 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $1,047.13 Typical High $2,290.87 | Professional | None | $100.00 | $1,047.13 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $2,290.87 Typical High $2,454.71 | Facility | None | $1,995.26 | $2,290.87 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Premera BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,467.37 | Professional | None | $1,698.24 | $2,398.83 | $3,467.37 |
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 $1,548.82 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,137.96 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,479.11 | $1,548.82 | $2,238.72 |
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 $758.58 Median $758.58 Typical High $794.33 | Professional | 52 · Reduced service | $758.58 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | 53 · Discontinued | $302.00 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,096.48 |
Where Washington sits
The same service costs 5.5 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· 49th of 51
$1,175
AK $4,898TX $891
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.