How much rates vary
Facilitymedian $2,344 · 10th to 90th $891 to $12,303Professionalmedian $617 · 10th to 90th $95 to $1,175
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 $851.14 Median $11,220.18 Typical High $21,877.62 | Facility | None | $851.14 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $933.25 | Professional | None | $676.08 | $851.14 | $933.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $1,621.81 Typical High $12,302.69 | Facility | None | $407.38 | $1,621.81 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $6,165.95 | Professional | None | $977.24 | $1,548.82 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,995.26 Typical High $3,630.78 | Facility | None | $891.25 | $1,995.26 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,513.56 | Professional | None | $645.65 | $741.31 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $1,348.96 Typical High $2,818.38 | Professional | None | $602.56 | $1,348.96 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $562.34 Typical High $1,122.02 | Professional | None | $91.20 | $562.34 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,258.93 | Facility | None | $707.95 | $1,174.90 | $1,258.93 |
Premera BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,754.23 | Facility | None | $1,071.52 | $1,548.82 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $9,549.93 Typical High $17,782.79 | Facility | None | $7,244.36 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,412.54 | Professional | None | $977.24 | $977.24 | $1,412.54 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $12,882.50 | Facility | None | $2,089.30 | $3,548.13 | $12,882.50 |
United Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,621.81 | Professional | None | $707.95 | $851.14 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,122.02 | Professional | None | $549.54 | $741.31 | $1,122.02 |
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 $338.84 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $338.84 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $134.90 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $501.19 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $67.61 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $467.74 | $602.56 | $602.56 |
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
$617
AK $2,455TX $380
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.