How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $3,467Professionalmedian $1,778 · 10th to 90th $219 to $3,467
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 $2,290.87 Median $9,549.93 Typical High $27,542.29 | Facility | None | $2,290.87 | $9,549.93 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,698.24 | $2,290.87 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,202.26 Typical High $25,703.96 | Facility | None | $30.20 | $1,202.26 | $25,703.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,754.23 Median $12,022.64 Typical High $13,803.84 | Professional | None | $2,754.23 | $12,022.64 | $13,803.84 |
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 $1,819.70 Median $2,041.74 Typical High $4,168.69 | Professional | None | $1,819.70 | $2,041.74 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,548.82 | $2,570.40 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $1,621.81 Typical High $3,311.31 | Professional | None | $208.93 | $1,621.81 | $3,311.31 |
Pacific Source Setting Facility Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $3,467.37 | Facility | None | $2,398.83 | $3,090.30 | $3,467.37 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,344.23 | Facility | None | $2,290.87 | $2,290.87 | $2,344.23 |
Premera BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Facility | None | $25,703.96 | $25,703.96 | $25,703.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,890.45 | Professional | None | $2,754.23 | $2,754.23 | $3,890.45 |
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 $1,949.84 Median $2,454.71 Typical High $4,466.84 | Professional | None | $1,949.84 | $2,454.71 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,548.82 | $2,089.30 | $3,162.28 |
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 $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $891.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $363.08 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,348.96 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $269.15 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,621.81 | $1,621.81 |
Where Washington sits
The same service costs 5.4 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· 38th of 51
$1,778
AK $5,888TX $1,096
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.