How much rates vary
Facilitymedian $1,585 · 10th to 90th $708 to $3,020Professionalmedian $1,175 · 10th to 90th $126 to $2,818
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 $1,778.28 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,778.28 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,778.28 | $1,778.28 | $1,862.09 |
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 $10,471.29 Typical High $11,481.54 | Professional | None | $1,949.84 | $10,471.29 | $11,481.54 |
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 $1,659.59 Median $1,819.70 Typical High $3,981.07 | Professional | None | $1,659.59 | $1,819.70 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,818.38 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $1,000.00 Typical High $2,630.27 | Professional | None | $120.23 | $1,000.00 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $2,754.23 | Facility | None | $1,621.81 | $2,630.27 | $2,754.23 |
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 $1,122.02 Median $1,548.82 Typical High $2,818.38 | Facility | None | $1,122.02 | $1,548.82 | $2,818.38 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $4,365.16 | Professional | None | $1,698.24 | $2,290.87 | $4,365.16 |
Wellpoint Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,737.80 | $1,819.70 | $2,691.53 |
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 $891.25 Median $891.25 Typical High $933.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 53 · Discontinued | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $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· 50th of 51
$1,202
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.