How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,630Professionalmedian $1,413 · 10th to 90th $141 to $2,692
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 $7,943.28 Typical High $27,542.29 | Facility | None | $1,737.80 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,737.80 | $1,737.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $891.25 Typical High $7,943.28 | Facility | None | $30.20 | $891.25 | $7,943.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $12,022.64 | Professional | None | $2,041.74 | $3,235.94 | $12,022.64 |
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 $1,412.54 Median $1,548.82 Typical High $3,235.94 | Professional | None | $1,412.54 | $1,548.82 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,174.90 | $1,995.26 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $1,288.25 Typical High $2,630.27 | Professional | None | $131.83 | $1,288.25 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $2,630.27 | Facility | None | $1,949.84 | $2,398.83 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,737.80 | $1,737.80 | $1,778.28 |
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 $2,884.03 | Professional | None | $2,041.74 | $2,041.74 | $2,884.03 |
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 $1,479.11 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,479.11 | $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 $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $269.15 | $354.81 | $354.81 |
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 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· 36th of 51
$1,413
AK $4,571TX $851
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.