How much rates vary
Facilitymedian $1,318 · 10th to 90th $525 to $11,220Professionalmedian $490 · 10th to 90th $49 to $955
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 $676.08 Median $6,165.95 Typical High $20,892.96 | Facility | None | $676.08 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $724.44 | Professional | None | $489.78 | $676.08 | $724.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $12,302.69 | Facility | None | $323.59 | $870.96 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $724.44 Median $3,311.31 Typical High $3,715.35 | Professional | None | $724.44 | $3,311.31 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,862.09 Typical High $3,548.13 | Facility | None | $467.74 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $1,148.15 | Professional | None | $478.63 | $549.54 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $1,023.29 Typical High $2,818.38 | Professional | None | $446.68 | $1,023.29 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $446.68 Typical High $912.01 | Professional | None | $46.77 | $446.68 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $812.83 Typical High $891.25 | Facility | None | $446.68 | $812.83 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,344.23 | Facility | None | $630.96 | $1,258.93 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
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 $724.44 Median $724.44 Typical High $1,047.13 | Professional | None | $724.44 | $724.44 | $1,047.13 |
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 $501.19 Median $630.96 Typical High $1,174.90 | Professional | None | $501.19 | $630.96 | $1,174.90 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $954.99 | Professional | None | $446.68 | $602.56 | $954.99 |
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 $245.47 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $245.47 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $97.72 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $371.54 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $74.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $48.98 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $346.74 | $467.74 | $467.74 |
Where Washington sits
The same service costs 6.2 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· 35th of 51
$490
AK $1,862TX $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.