How much rates vary
Facilitymedian $912 · 10th to 90th $550 to $2,344Professionalmedian $759 · 10th to 90th $95 to $1,479
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 $933.25 Median $7,943.28 Typical High $27,542.29 | Facility | None | $933.25 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | None | $707.95 | $933.25 | $933.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $501.19 Typical High $4,168.69 | Facility | None | $30.20 | $501.19 | $4,168.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $5,888.44 | Professional | None | $1,071.52 | $4,786.30 | $5,888.44 |
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 $691.83 Median $776.25 Typical High $1,659.59 | Professional | None | $691.83 | $776.25 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $977.24 Typical High $1,621.81 | Professional | None | $588.84 | $977.24 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $691.83 Typical High $1,412.54 | Professional | None | $91.20 | $691.83 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,348.96 | Facility | None | $870.96 | $1,148.15 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $933.25 | Facility | None | $912.01 | $912.01 | $933.25 |
Premera BCBS Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,071.52 | $1,548.82 |
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 $741.31 Median $933.25 Typical High $1,737.80 | Professional | None | $741.31 | $933.25 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,380.38 | Professional | None | $660.69 | $891.25 | $1,380.38 |
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 $354.81 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $354.81 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $141.25 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $537.03 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $107.15 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $70.79 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $501.19 | $645.65 | $645.65 |
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· 31st of 51
$759
AK $2,512TX $468
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.