How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $2,455Professionalmedian $871 · 10th to 90th $87 to $1,995
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 $1,348.96 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,348.96 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,348.96 | $1,348.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $724.44 Typical High $6,165.95 | Facility | None | $30.20 | $724.44 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,584.89 Median $7,079.46 Typical High $8,511.38 | Professional | None | $1,584.89 | $7,079.46 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,202.26 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,511.89 | Professional | None | $891.25 | $1,513.56 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $776.25 Typical High $1,905.46 | Professional | None | $85.11 | $776.25 | $1,905.46 |
Pacific Source Setting Facility Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $1,995.26 | Facility | None | $1,479.11 | $1,862.09 | $1,995.26 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,348.96 | $1,348.96 | $1,380.38 |
Premera BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,584.89 | $2,290.87 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,412.54 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,949.84 | Professional | None | $954.99 | $1,288.25 | $1,949.84 |
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 $524.81 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $524.81 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $208.93 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $794.33 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $104.71 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $741.31 | $954.99 | $954.99 |
Where Washington sits
The same service costs 24.5 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· 48th of 51
$871
AK $4,074TX $166
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.