How much rates vary
Facilitymedian $7,079 · 10th to 90th $912 to $39,811Professionalmedian $1,047 · 10th to 90th $126 to $2,455
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 $1,698.24 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,698.24 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,698.24 | $1,698.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $891.25 Median $27,542.29 Typical High $57,543.99 | Facility | None | $891.25 | $27,542.29 | $57,543.99 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,995.26 Median $8,912.51 Typical High $10,471.29 | Professional | None | $1,995.26 | $8,912.51 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,456.54 Typical High $12,022.64 | Facility | None | $707.95 | $6,456.54 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,318.26 | $1,513.56 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $2,630.27 Typical High $9,549.93 | Professional | None | $1,202.26 | $2,630.27 | $9,549.93 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $933.25 Typical High $2,290.87 | Professional | None | $120.23 | $933.25 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $2,511.89 | Facility | None | $1,584.89 | $2,290.87 | $2,511.89 |
Premera BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $3,981.07 Typical High $6,309.57 | Facility | None | $1,698.24 | $3,981.07 | $6,309.57 |
Premera BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $22,908.68 Median $30,199.52 Typical High $57,543.99 | Facility | None | $22,908.68 | $30,199.52 | $57,543.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,995.26 | $1,995.26 | $2,884.03 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $7,244.36 Typical High $41,686.94 | Facility | None | $3,715.35 | $7,244.36 | $41,686.94 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,311.31 | Professional | None | $1,445.44 | $1,778.28 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,584.89 | $2,398.83 |
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 $660.69 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $660.69 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,000.00 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $933.25 | $1,202.26 | $1,202.26 |
Where Washington sits
The same service costs 25.7 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
$1,047
AK $5,129TX $200
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.