How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $5,495Professionalmedian $2,344 · 10th to 90th $263 to $5,623
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 $3,630.78 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,630.78 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,951.21 | $3,630.78 | $3,630.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $2,041.74 Typical High $17,782.79 | Facility | None | $30.20 | $2,041.74 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,570.88 Median $20,417.38 Typical High $23,988.33 | Professional | None | $4,570.88 | $20,417.38 | $23,988.33 |
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 $3,019.95 Median $3,235.94 Typical High $6,918.31 | Professional | None | $3,019.95 | $3,235.94 | $6,918.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $4,466.84 Typical High $7,413.10 | Professional | None | $2,454.71 | $4,466.84 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $2,137.96 Typical High $5,370.32 | Professional | None | $245.47 | $2,137.96 | $5,370.32 |
Pacific Source Setting Facility Modifier None Typical Low $4,073.80 Median $5,248.07 Typical High $5,623.41 | Facility | None | $4,073.80 | $5,248.07 | $5,623.41 |
Premera BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,981.07 | Facility | None | $3,890.45 | $3,890.45 | $3,981.07 |
Premera BCBS Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $6,456.54 | Professional | None | $4,570.88 | $4,570.88 | $6,456.54 |
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 $3,235.94 Median $3,890.45 Typical High $7,413.10 | Professional | None | $3,235.94 | $3,890.45 | $7,413.10 |
Wellpoint Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $5,495.41 | Professional | None | $2,691.53 | $3,630.78 | $5,495.41 |
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 $1,513.56 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,513.56 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $616.60 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $2,290.87 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $457.09 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $309.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,570.40 | $2,570.40 |
Where Washington sits
The same service costs 21.4 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
$2,344
AK $9,772TX $457
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.