How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $4,467Professionalmedian $1,862 · 10th to 90th $191 to $4,467
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 $3,090.30 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,090.30 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,398.83 | $3,090.30 | $3,090.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,584.89 Typical High $14,125.38 | Facility | None | $30.20 | $1,584.89 | $14,125.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,715.35 Median $16,218.10 Typical High $18,620.87 | Professional | None | $3,715.35 | $16,218.10 | $18,620.87 |
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 $2,398.83 Median $2,754.23 Typical High $5,623.41 | Professional | None | $2,398.83 | $2,754.23 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $5,623.41 | Professional | None | $2,089.30 | $3,467.37 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $1,698.24 Typical High $4,168.69 | Professional | None | $181.97 | $1,698.24 | $4,168.69 |
Pacific Source Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $4,570.88 | Facility | None | $3,235.94 | $4,365.16 | $4,570.88 |
Premera BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,162.28 | Facility | None | $3,090.30 | $3,090.30 | $3,162.28 |
Premera BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $5,248.07 | Professional | None | $3,715.35 | $3,715.35 | $5,248.07 |
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 $2,630.27 Median $3,311.31 Typical High $6,025.60 | Professional | None | $2,630.27 | $3,311.31 | $6,025.60 |
Wellpoint Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,818.38 | $4,265.80 |
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 $1,202.26 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,202.26 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $489.78 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,819.70 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $363.08 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,187.76 | $2,187.76 |
Where Washington sits
The same service costs 22.4 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
$1,862
AK $7,943TX $355
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.