How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,047 to $22,387Professionalmedian $631 · 10th to 90th $87 to $1,479
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 $1,047.13 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,047.13 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,148.15 | Professional | None | $812.83 | $1,047.13 | $1,148.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $549.54 Median $15,488.17 Typical High $31,622.78 | Facility | None | $549.54 | $15,488.17 | $31,622.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $8,709.64 | Professional | None | $1,230.27 | $1,949.84 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,905.46 | Professional | None | $812.83 | $912.01 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,659.59 Typical High $5,623.41 | Professional | None | $724.44 | $1,659.59 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $562.34 Typical High $1,380.38 | Professional | None | $85.11 | $562.34 | $1,380.38 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,096.48 | $1,479.11 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $3,801.89 | Facility | None | $1,047.13 | $2,398.83 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,882.50 Median $16,982.44 Typical High $31,622.78 | Facility | None | $12,882.50 | $16,982.44 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,230.27 | $1,778.28 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $23,442.29 | Facility | None | $2,691.53 | $4,677.35 | $23,442.29 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $2,041.74 | Professional | None | $891.25 | $1,096.48 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,479.11 | Professional | None | $724.44 | $977.24 | $1,479.11 |
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 $407.38 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $407.38 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $162.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $616.60 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $123.03 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $575.44 | $724.44 | $724.44 |
Where Washington sits
The same service costs 25.1 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
$631
AK $3,090TX $123
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.