How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,818Professionalmedian $1,479 · 10th to 90th $178 to $2,884
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 $1,905.46 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,905.46 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,905.46 | $1,905.46 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,000.00 Typical High $8,709.64 | Facility | None | $30.20 | $1,000.00 | $8,709.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $11,748.98 Typical High $12,302.69 | Professional | None | $2,238.72 | $11,748.98 | $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 $1,479.11 Median $1,698.24 Typical High $3,467.37 | Professional | None | $1,479.11 | $1,698.24 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $3,467.37 | Professional | None | $1,258.93 | $2,137.96 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,348.96 Typical High $2,754.23 | Professional | None | $165.96 | $1,348.96 | $2,754.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $2,818.38 | Facility | None | $1,659.59 | $2,691.53 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,905.46 | $1,949.84 |
Premera BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,238.72 | $3,235.94 |
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 $1,584.89 Median $2,041.74 Typical High $3,715.35 | Professional | None | $1,584.89 | $2,041.74 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,778.28 | $2,691.53 |
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 $741.31 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $741.31 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $302.00 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,122.02 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $223.87 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $147.91 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,348.96 | $1,348.96 |
Where Washington sits
The same service costs 5.2 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· 35th of 51
$1,479
AK $4,898TX $933
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.