How much rates vary
Facilitymedian $1,479 · 10th to 90th $617 to $5,623Professionalmedian $851 · 10th to 90th $95 to $1,660
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 $1,047.13 Median $12,589.25 Typical High $24,547.09 | Facility | None | $1,047.13 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,148.15 | Professional | None | $831.76 | $1,047.13 | $1,148.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $549.54 Typical High $4,786.30 | Facility | None | $30.20 | $549.54 | $4,786.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,230.27 Median $5,495.41 Typical High $6,456.54 | Professional | None | $1,230.27 | $5,495.41 | $6,456.54 |
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 $831.76 Median $933.25 Typical High $1,905.46 | Professional | None | $831.76 | $933.25 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,174.90 Typical High $1,905.46 | Professional | None | $691.83 | $1,174.90 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $758.58 Typical High $1,548.82 | Professional | None | $91.20 | $758.58 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,096.48 | $1,479.11 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,905.46 | $2,818.38 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,230.27 | $1,778.28 |
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 $891.25 Median $1,096.48 Typical High $2,041.74 | Professional | None | $891.25 | $1,096.48 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,479.11 | Professional | None | $724.44 | $977.24 | $1,479.11 |
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 $407.38 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $407.38 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $165.96 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $83.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $575.44 | $741.31 | $741.31 |
Where Washington sits
The same service costs 5.9 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· 35th of 51
$851
AK $3,162TX $537
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.