How much rates vary
Facilitymedian $3,162 · 10th to 90th $955 to $7,943Professionalmedian $1,072 · 10th to 90th $126 to $2,512
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 $1,737.80 Median $9,549.93 Typical High $27,542.29 | Facility | None | $1,737.80 | $9,549.93 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,737.80 | $1,737.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $912.01 Typical High $7,943.28 | Facility | None | $30.20 | $912.01 | $7,943.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $12,302.69 | Professional | None | $2,041.74 | $3,235.94 | $12,302.69 |
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 $1,348.96 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,348.96 | $1,513.56 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,949.84 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $977.24 Typical High $2,398.83 | Professional | None | $120.23 | $977.24 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $2,570.40 | Facility | None | $1,778.28 | $2,454.71 | $2,570.40 |
Premera BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $4,677.35 Typical High $8,128.31 | Facility | None | $1,318.26 | $4,677.35 | $8,128.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,041.74 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,467.37 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,467.37 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,819.70 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,621.81 | $2,454.71 |
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 $676.08 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $676.08 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $269.15 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,023.29 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $204.17 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $134.90 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $954.99 | $1,230.27 | $1,230.27 |
Where Washington sits
The same service costs 26.3 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· 49th of 51
$1,072
AK $5,248TX $200
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.