How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $4,786Professionalmedian $1,995 · 10th to 90th $229 to $4,786
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 $3,311.31 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,311.31 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $3,467.37 | Professional | None | $2,398.83 | $3,311.31 | $3,467.37 |
Ambetter Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,698.24 Typical High $15,135.61 | Facility | None | $30.20 | $1,698.24 | $15,135.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,981.07 Median $17,378.01 Typical High $19,952.62 | Professional | None | $3,981.07 | $17,378.01 | $19,952.62 |
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 $2,570.40 Median $2,951.21 Typical High $6,025.60 | Professional | None | $2,570.40 | $2,951.21 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $6,025.60 | Professional | None | $2,238.72 | $3,715.35 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $1,819.70 Typical High $4,466.84 | Professional | None | $218.78 | $1,819.70 | $4,466.84 |
Pacific Source Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $4,897.79 | Facility | None | $3,467.37 | $4,677.35 | $4,897.79 |
Premera BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,388.44 | Facility | None | $3,311.31 | $3,311.31 | $3,388.44 |
Premera BCBS Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $5,623.41 | Professional | None | $3,981.07 | $3,981.07 | $5,623.41 |
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 $2,754.23 Median $3,548.13 Typical High $6,456.54 | Professional | None | $2,754.23 | $3,548.13 | $6,456.54 |
Wellpoint Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $4,570.88 | Professional | None | $2,238.72 | $3,019.95 | $4,570.88 |
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 $1,288.25 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,288.25 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $524.81 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,949.84 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $389.05 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $257.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,344.23 | $2,344.23 |
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
$1,995
AK $8,318TX $389
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.