How much rates vary
Facilitymedian $3,388 · 10th to 90th $955 to $20,417Professionalmedian $832 · 10th to 90th $95 to $1,622
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 $1,148.15 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,148.15 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,258.93 | Professional | None | $891.25 | $1,148.15 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $1,621.81 Typical High $22,387.21 | Facility | None | $537.03 | $1,621.81 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $7,244.36 | Professional | None | $1,288.25 | $2,089.30 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,801.89 Typical High $7,244.36 | Facility | None | $891.25 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $2,089.30 | Professional | None | $870.96 | $1,000.00 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,737.80 Typical High $5,754.40 | Professional | None | $812.83 | $1,737.80 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $741.31 Typical High $1,548.82 | Professional | None | $91.20 | $741.31 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $1,659.59 | Facility | None | $1,202.26 | $1,584.89 | $1,659.59 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,548.82 | $2,884.03 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $1,288.25 Median $1,288.25 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,288.25 | $1,905.46 |
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 $954.99 Median $1,148.15 Typical High $2,137.96 | Professional | None | $954.99 | $1,148.15 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,513.56 | Professional | None | $724.44 | $977.24 | $1,513.56 |
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 $446.68 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $446.68 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $660.69 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $131.83 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $616.60 | $812.83 | $812.83 |
Where Washington sits
The same service costs 6.5 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· 44th of 51
$832
AK $3,311TX $513
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.