How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,630Professionalmedian $1,096 · 10th to 90th $126 to $2,630
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 $1,778.28 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,778.28 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,778.28 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $933.25 Typical High $8,128.31 | Facility | None | $30.20 | $933.25 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,089.30 Median $9,332.54 Typical High $10,964.78 | Professional | None | $2,089.30 | $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 $1,380.38 Median $1,548.82 Typical High $3,235.94 | Professional | None | $1,380.38 | $1,548.82 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,174.90 | $1,995.26 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $1,000.00 Typical High $2,454.71 | Professional | None | $120.23 | $1,000.00 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $2,630.27 | Facility | None | $1,862.09 | $2,398.83 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,819.70 | Facility | None | $1,778.28 | $1,778.28 | $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 $2,089.30 Median $2,089.30 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,089.30 | $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 $1,862.09 Typical High $3,467.37 | Professional | None | $1,479.11 | $1,862.09 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,659.59 | $2,511.89 |
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 $691.83 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $691.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $275.42 | $354.81 | $354.81 |
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 $138.04 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $138.04 | $177.83 | $177.83 |
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 21.4 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
$1,096
AK $4,571TX $214
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.