How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $7,413Professionalmedian $3,236 · 10th to 90th $363 to $7,586
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 $4,677.35 Median $7,943.28 Typical High $27,542.29 | Facility | None | $4,677.35 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $5,248.07 Typical High $5,248.07 | Professional | None | $3,890.45 | $5,248.07 | $5,248.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $2,691.53 Typical High $23,988.33 | Facility | None | $30.20 | $2,691.53 | $23,988.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6,165.95 Median $29,512.09 Typical High $31,622.78 | Professional | None | $6,165.95 | $29,512.09 | $31,622.78 |
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 $3,981.07 Median $4,570.88 Typical High $9,332.54 | Professional | None | $3,981.07 | $4,570.88 | $9,332.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $5,888.44 Typical High $9,332.54 | Professional | None | $3,467.37 | $5,888.44 | $9,332.54 |
Molina Setting Professional Modifier None Typical Low $354.81 Median $2,884.03 Typical High $7,244.36 | Professional | None | $354.81 | $2,884.03 | $7,244.36 |
Pacific Source Setting Facility Modifier None Typical Low $5,128.61 Median $7,079.46 Typical High $7,762.47 | Facility | None | $5,128.61 | $7,079.46 | $7,762.47 |
Premera BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,370.32 | Facility | None | $5,248.07 | $5,248.07 | $5,370.32 |
Premera BCBS Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $8,912.51 | Professional | None | $6,165.95 | $6,165.95 | $8,912.51 |
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 $4,365.16 Median $5,623.41 Typical High $10,232.93 | Professional | None | $4,365.16 | $5,623.41 | $10,232.93 |
Wellpoint Setting Professional Modifier None Typical Low $3,548.13 Median $4,786.30 Typical High $7,244.36 | Professional | None | $3,548.13 | $4,786.30 | $7,244.36 |
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 $2,041.74 Median $2,630.27 Typical High $2,630.27 | Professional | 52 · Reduced service | $2,041.74 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | 53 · Discontinued | $812.83 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $3,981.07 Typical High $3,981.07 | Professional | 54 · Surgery only | $3,090.30 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $616.60 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | 56 · Pre-op care only | $407.38 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $3,715.35 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $2,884.03 | $3,715.35 | $3,715.35 |
Where Washington sits
The same service costs 21.9 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· 47th of 51
$3,162
AK $13,183TX $603
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.