How much rates vary
Facilitymedian $955 · 10th to 90th $617 to $2,344Professionalmedian $1,230 · 10th to 90th $141 to $2,399
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 $1,584.89 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,584.89 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,584.89 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $831.76 Typical High $7,244.36 | Facility | None | $30.20 | $831.76 | $7,244.36 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,772.37 | Professional | None | $1,862.09 | $8,317.64 | $9,772.37 |
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 $1,230.27 Median $1,380.38 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,380.38 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,778.28 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $1,148.15 Typical High $2,290.87 | Professional | None | $131.83 | $1,148.15 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $2,344.23 | Facility | None | $1,380.38 | $2,238.72 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Premera BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,862.09 | $1,862.09 | $2,691.53 |
United Setting Facility Modifier None Typical Low $575.44 Median $794.33 Typical High $1,479.11 | Facility | None | $575.44 | $794.33 | $1,479.11 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,659.59 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,238.72 | Professional | None | $1,096.48 | $1,479.11 | $2,238.72 |
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 $616.60 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $616.60 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $245.47 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $870.96 | $1,122.02 | $1,122.02 |
Where Washington sits
The same service costs 5.5 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
$1,230
AK $4,266TX $776
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.