How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $3,311Professionalmedian $1,380 · 10th to 90th $155 to $3,311
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 $7,943.28 Typical High $27,542.29 | Facility | None | $2,290.87 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,737.80 | $2,290.87 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,174.90 Typical High $10,232.93 | Facility | None | $30.20 | $1,174.90 | $10,232.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,630.27 Median $11,748.98 Typical High $13,803.84 | Professional | None | $2,630.27 | $11,748.98 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $4,073.80 | Professional | None | $1,737.80 | $1,949.84 | $4,073.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,479.11 | $2,511.89 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $1,258.93 Typical High $3,162.28 | Professional | None | $147.91 | $1,258.93 | $3,162.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $3,311.31 | Facility | None | $1,949.84 | $3,162.28 | $3,311.31 |
Premera BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,290.87 | Facility | None | $2,238.72 | $2,238.72 | $2,290.87 |
Premera BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,801.89 | Professional | None | $2,630.27 | $2,630.27 | $3,801.89 |
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 $1,862.09 Median $2,344.23 Typical High $4,365.16 | Professional | None | $1,862.09 | $2,344.23 | $4,365.16 |
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 $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $870.96 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $346.74 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,318.26 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $173.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,584.89 | $1,584.89 |
Where Washington sits
The same service costs 20.4 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
$1,380
AK $5,495TX $269
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.