How much rates vary
Facilitymedian $2,754 · 10th to 90th $631 to $13,183Professionalmedian $562 · 10th to 90th $98 to $912
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 $537.03 Median $6,456.54 Typical High $20,892.96 | Facility | None | $537.03 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | None | $537.03 | $537.03 | $549.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $1,148.15 Typical High $15,135.61 | Facility | None | $309.03 | $1,148.15 | $15,135.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $562.34 Median $2,951.21 Typical High $3,548.13 | Professional | None | $562.34 | $2,951.21 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,715.35 Typical High $6,918.31 | Facility | None | $630.96 | $3,715.35 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $1,174.90 | Professional | None | $478.63 | $524.81 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,122.02 Typical High $6,165.95 | Professional | None | $741.31 | $1,122.02 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $549.54 Typical High $851.14 | Professional | None | $93.33 | $549.54 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $812.83 | Facility | None | $467.74 | $758.58 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $851.14 Median $2,454.71 Typical High $4,786.30 | Facility | None | $851.14 | $2,454.71 | $4,786.30 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,585.78 Median $11,481.54 Typical High $21,877.62 | Facility | None | $7,585.78 | $11,481.54 | $21,877.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,174.90 | Professional | None | $562.34 | $812.83 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $14,454.40 | Facility | None | $1,513.56 | $2,570.40 | $14,454.40 |
United Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,288.25 | Professional | None | $478.63 | $660.69 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $851.14 | Professional | None | $549.54 | $575.44 | $851.14 |
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 $269.15 Median $269.15 Typical High $275.42 | Professional | 52 · Reduced service | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 53 · Discontinued | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | 54 · Surgery only | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $389.05 |
Where Washington sits
The same service costs 5.4 times more in Alaska than in New York. 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· 39th of 51
$575
AK $2,239NY $417
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.