How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,096 to $20,417Professionalmedian $1,122 · 10th to 90th $95 to $2,138
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 $1,513.56 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,513.56 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,513.56 | $1,659.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $724.44 Median $1,659.59 Typical High $22,387.21 | Facility | None | $724.44 | $1,659.59 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $12,022.64 | Professional | None | $1,698.24 | $2,754.23 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $2,630.27 | Professional | None | $1,122.02 | $1,318.26 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $5,754.40 | Professional | None | $1,071.52 | $2,290.87 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $1,023.29 Typical High $2,089.30 | Professional | None | $91.20 | $1,023.29 | $2,089.30 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,995.26 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $5,888.44 | Facility | None | $1,584.89 | $3,019.95 | $5,888.44 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,698.24 | $1,698.24 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,548.82 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,041.74 | Professional | None | $977.24 | $1,318.26 | $2,041.74 |
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 $575.44 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $575.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $229.09 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $851.14 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $169.82 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $794.33 | $1,071.52 | $1,071.52 |
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· 39th of 51
$1,122
AK $4,365TX $708
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.