How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,692Professionalmedian $1,413 · 10th to 90th $174 to $2,754
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 $1,819.70 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,819.70 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,819.70 | $1,819.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $933.25 Typical High $8,317.64 | Facility | None | $30.20 | $933.25 | $8,317.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,137.96 Median $9,332.54 Typical High $10,964.78 | Professional | None | $2,137.96 | $9,332.54 | $10,964.78 |
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 $1,412.54 Median $1,584.89 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,584.89 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,202.26 | $2,041.74 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,288.25 Typical High $2,630.27 | Professional | None | $165.96 | $1,288.25 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $2,691.53 | Facility | None | $1,548.82 | $2,570.40 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Premera BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,137.96 | $3,019.95 |
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 $1,479.11 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,479.11 | $1,905.46 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,659.59 | $2,570.40 |
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 $707.95 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $707.95 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $281.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,047.13 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $208.93 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $141.25 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $977.24 | $1,258.93 | $1,258.93 |
Where Washington sits
The same service costs 5.0 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
$1,413
AK $4,467TX $891
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.