How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,000 to $20,417Professionalmedian $794 · 10th to 90th $95 to $1,549
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 $1,047.13 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,047.13 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,148.15 | Professional | None | $812.83 | $1,047.13 | $1,148.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $22,387.21 | Facility | None | $512.86 | $1,659.59 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $6,918.31 | Professional | None | $1,174.90 | $1,905.46 | $6,918.31 |
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 $758.58 Median $870.96 Typical High $1,819.70 | Professional | None | $758.58 | $870.96 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,621.81 Typical High $5,754.40 | Professional | None | $724.44 | $1,621.81 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $724.44 Typical High $1,513.56 | Professional | None | $91.20 | $724.44 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,479.11 | Facility | None | $831.76 | $1,318.26 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $2,818.38 Typical High $4,897.79 | Facility | None | $776.25 | $2,818.38 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $1,174.90 Median $1,174.90 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,174.90 | $1,698.24 |
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 $851.14 Median $1,023.29 Typical High $1,905.46 | Professional | None | $851.14 | $1,023.29 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,479.11 | Professional | None | $707.95 | $954.99 | $1,479.11 |
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 $407.38 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $407.38 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $162.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $575.44 | $741.31 | $741.31 |
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· 36th of 51
$794
AK $3,020TX $490
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.