How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,188Professionalmedian $1,148 · 10th to 90th $95 to $2,239
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 $1,412.54 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,412.54 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,412.54 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $741.31 Typical High $6,309.57 | Facility | None | $30.20 | $741.31 | $6,309.57 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,621.81 Median $7,079.46 Typical High $8,709.64 | Professional | None | $1,621.81 | $7,079.46 | $8,709.64 |
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 $1,047.13 Median $1,202.26 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,202.26 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $2,511.89 | Professional | None | $891.25 | $1,548.82 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $1,071.52 Typical High $2,137.96 | Professional | None | $91.20 | $1,071.52 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,041.74 | Facility | None | $1,380.38 | $1,905.46 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Premera BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,621.81 | $1,621.81 | $2,290.87 |
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 $1,148.15 Median $1,445.44 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,445.44 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,041.74 | Professional | None | $977.24 | $1,318.26 | $2,041.74 |
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 $537.03 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $537.03 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $213.80 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $812.83 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $758.58 | $1,000.00 | $1,000.00 |
Where Washington sits
The same service costs 4.9 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· 32nd of 51
$1,148
AK $3,548TX $724
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.