How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $3,631Professionalmedian $1,862 · 10th to 90th $219 to $3,715
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 $2,398.83 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,398.83 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,398.83 | $2,398.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,258.93 Typical High $10,964.78 | Facility | None | $30.20 | $1,258.93 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,884.03 Median $12,589.25 Typical High $14,791.08 | Professional | None | $2,884.03 | $12,589.25 | $14,791.08 |
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 $1,862.09 Median $2,137.96 Typical High $4,466.84 | Professional | None | $1,862.09 | $2,137.96 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,621.81 | $2,691.53 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $1,698.24 Typical High $3,548.13 | Professional | None | $208.93 | $1,698.24 | $3,548.13 |
Pacific Source Setting Facility Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $3,630.78 | Facility | None | $2,238.72 | $3,388.44 | $3,630.78 |
Premera BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Facility | None | $2,398.83 | $2,398.83 | $2,454.71 |
Premera BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,884.03 | $2,884.03 | $4,073.80 |
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 $2,041.74 Median $2,570.40 Typical High $4,677.35 | Professional | None | $2,041.74 | $2,570.40 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,621.81 | $2,187.76 | $3,311.31 |
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 $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $380.19 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,412.54 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $281.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $190.55 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,698.24 | $1,698.24 |
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· 37th of 51
$1,862
AK $6,166TX $1,148
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.