How much rates vary
Facilitymedian $1,047 · 10th to 90th $513 to $6,026Professionalmedian $617 · 10th to 90th $95 to $1,202
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 $776.25 Median $7,943.28 Typical High $27,542.29 | Facility | None | $776.25 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | None | $602.56 | $776.25 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $4,073.80 Typical High $8,511.38 | Facility | None | $416.87 | $4,073.80 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $912.01 Median $4,073.80 Typical High $4,786.30 | Professional | None | $912.01 | $4,073.80 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,659.59 | Facility | None | $467.74 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $1,380.38 | Professional | None | $588.84 | $660.69 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $977.24 Typical High $1,380.38 | Professional | None | $537.03 | $977.24 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $562.34 Typical High $1,148.15 | Professional | None | $91.20 | $562.34 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,122.02 | Facility | None | $776.25 | $977.24 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $851.14 | Facility | None | $537.03 | $758.58 | $851.14 |
Premera BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,951.21 | $4,466.84 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,318.26 | Professional | None | $912.01 | $912.01 | $1,318.26 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,025.60 | Facility | None | $588.84 | $977.24 | $6,025.60 |
United Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,479.11 | Professional | None | $645.65 | $794.33 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,148.15 | Professional | None | $549.54 | $741.31 | $1,148.15 |
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 $302.00 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $302.00 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $120.23 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $60.26 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $426.58 | $537.03 | $537.03 |
Where Washington sits
The same service costs 5.5 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· 38th of 51
$631
AK $2,188TX $398
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.