How much rates vary
Facilitymedian $2,089 · 10th to 90th $776 to $10,233Professionalmedian $1,202 · 10th to 90th $141 to $2,344
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 $1,513.56 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,513.56 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,513.56 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $10,715.19 | Facility | None | $602.56 | $1,148.15 | $10,715.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,737.80 Median $7,943.28 Typical High $8,912.51 | Professional | None | $1,737.80 | $7,943.28 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,862.09 Typical High $3,388.44 | Facility | None | $630.96 | $1,862.09 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $2,754.23 | Professional | None | $1,148.15 | $1,318.26 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,047.13 | $2,041.74 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $1,122.02 Typical High $2,238.72 | Professional | None | $131.83 | $1,122.02 | $2,238.72 |
Pacific Source Setting Facility Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $2,187.76 | Facility | None | $1,258.93 | $2,137.96 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,148.15 | $1,479.11 | $2,398.83 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $8,128.31 Typical High $15,488.17 | Facility | None | $6,309.57 | $8,128.31 | $15,488.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,737.80 | $1,737.80 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $10,715.19 | Facility | None | $1,513.56 | $2,570.40 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,548.82 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,412.54 | $2,187.76 |
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 $575.44 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $575.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $229.09 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $173.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $1,047.13 | $1,047.13 |
Where Washington sits
The same service costs 5.2 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
$1,230
AK $3,981TX $759
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.