How much rates vary
Facilitymedian $1,349 · 10th to 90th $631 to $11,749Professionalmedian $661 · 10th to 90th $62 to $1,230
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 $691.83 Median $6,165.95 Typical High $20,892.96 | Facility | None | $691.83 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $758.58 | Professional | None | $512.86 | $758.58 | $758.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $1,148.15 Typical High $12,302.69 | Facility | None | $251.19 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $4,570.88 | Professional | None | $575.44 | $1,023.29 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,949.84 Typical High $3,548.13 | Facility | None | $630.96 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $1,148.15 | Professional | None | $436.52 | $602.56 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $1,230.27 Typical High $2,818.38 | Professional | None | $630.96 | $1,230.27 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $645.65 Typical High $1,202.26 | Professional | None | $53.70 | $645.65 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $1,047.13 | Facility | None | $588.84 | $933.25 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,258.93 Typical High $2,344.23 | Facility | None | $676.08 | $1,258.93 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | None | $512.86 | $512.86 | $724.44 |
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 $575.44 Median $794.33 Typical High $1,071.52 | Professional | None | $575.44 | $794.33 | $1,071.52 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $12,882.50 | Facility | None | $588.84 | $977.24 | $12,882.50 |
United Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $1,348.96 | Professional | None | $457.09 | $660.69 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $776.25 | Professional | None | $457.09 | $630.96 | $776.25 |
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 $257.04 Median $281.84 Typical High $380.19 | Professional | 52 · Reduced service | $257.04 | $281.84 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $112.20 Typical High $151.36 | Professional | 53 · Discontinued | $102.33 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $416.87 Typical High $575.44 | Professional | 54 · Surgery only | $389.05 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $83.18 Typical High $114.82 | Professional | 55 · Aftercare only | $77.62 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $56.23 Typical High $75.86 | Professional | 56 · Pre-op care only | $51.29 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $389.05 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $363.08 | $389.05 | $537.03 |
Where Washington sits
The same service costs 4.4 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· 20th of 51
$692
AK $1,950TX $447
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.