How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,512Professionalmedian $1,259 · 10th to 90th $141 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 $1,621.81 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,621.81 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,621.81 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $831.76 Typical High $7,244.36 | Facility | None | $30.20 | $831.76 | $7,244.36 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,905.46 Median $8,317.64 Typical High $9,772.37 | Professional | None | $1,905.46 | $8,317.64 | $9,772.37 |
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 $1,230.27 Median $1,412.54 Typical High $2,951.21 | Professional | None | $1,230.27 | $1,412.54 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,778.28 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $1,148.15 Typical High $2,344.23 | Professional | None | $131.83 | $1,148.15 | $2,344.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $2,398.83 | Facility | None | $1,659.59 | $2,137.96 | $2,398.83 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,584.89 | $1,584.89 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,905.46 | $1,905.46 | $2,691.53 |
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 $1,318.26 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,698.24 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,238.72 | Professional | None | $1,096.48 | $1,479.11 | $2,238.72 |
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 $630.96 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $630.96 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $251.19 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $870.96 | $1,122.02 | $1,122.02 |
Where Washington sits
The same service costs 5.4 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· 35th of 51
$1,259
AK $4,266TX $794
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.