How much rates vary
Facilitymedian $1,660 · 10th to 90th $631 to $11,749Professionalmedian $490 · 10th to 90th $60 to $933
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 $549.54 Median $6,165.95 Typical High $20,892.96 | Facility | None | $549.54 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $645.65 | Professional | None | $338.84 | $436.52 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $199.53 Median $1,148.15 Typical High $12,302.69 | Facility | None | $199.53 | $1,148.15 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $3,311.31 | Professional | None | $467.74 | $831.76 | $3,311.31 |
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 $363.08 Median $501.19 Typical High $1,023.29 | Professional | None | $363.08 | $501.19 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $794.33 Typical High $2,818.38 | Professional | None | $467.74 | $794.33 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $457.09 Typical High $912.01 | Professional | None | $56.23 | $457.09 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $758.58 | Facility | None | $446.68 | $691.83 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,318.26 Typical High $2,344.23 | Facility | None | $660.69 | $1,318.26 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $512.86 | Professional | None | $389.05 | $389.05 | $512.86 |
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 $446.68 Median $630.96 Typical High $912.01 | Professional | None | $446.68 | $630.96 | $912.01 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $1,047.13 | Professional | None | $380.19 | $575.44 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $562.34 | Professional | None | $363.08 | $537.03 | $562.34 |
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 $204.17 Median $223.87 Typical High $275.42 | Professional | 52 · Reduced service | $204.17 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $109.65 | Professional | 53 · Discontinued | $81.28 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $338.84 Typical High $416.87 | Professional | 54 · Surgery only | $309.03 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $67.61 Typical High $83.18 | Professional | 55 · Aftercare only | $61.66 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $45.71 Typical High $54.95 | Professional | 56 · Pre-op care only | $40.74 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $316.23 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $288.40 | $316.23 | $389.05 |
Where Washington sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 25th of 51
$501
AK $1,479UT $302
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.