How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $9,772Professionalmedian $3,890 · 10th to 90th $427 to $9,333
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 $4,168.69 Median $11,220.18 Typical High $21,877.62 | Facility | None | $4,168.69 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $6,606.93 Typical High $6,606.93 | Professional | None | $4,677.35 | $6,606.93 | $6,606.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $3,388.44 Typical High $30,199.52 | Facility | None | $30.20 | $3,388.44 | $30,199.52 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7,762.47 Median $34,673.69 Typical High $39,810.72 | Professional | None | $7,762.47 | $34,673.69 | $39,810.72 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $5,128.61 Median $5,888.44 Typical High $12,022.64 | Professional | None | $5,128.61 | $5,888.44 | $12,022.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,365.16 Median $7,413.10 Typical High $12,022.64 | Professional | None | $4,365.16 | $7,413.10 | $12,022.64 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $3,548.13 Typical High $8,912.51 | Professional | None | $416.87 | $3,548.13 | $8,912.51 |
Pacific Source Setting Facility Modifier None Typical Low $7,079.46 Median $8,912.51 Typical High $9,772.37 | Facility | None | $7,079.46 | $8,912.51 | $9,772.37 |
Premera BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,760.83 | Facility | None | $6,606.93 | $6,606.93 | $6,760.83 |
Premera BCBS Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $11,220.18 | Professional | None | $7,762.47 | $7,762.47 | $11,220.18 |
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 $5,623.41 Median $7,079.46 Typical High $12,882.50 | Professional | None | $5,623.41 | $7,079.46 | $12,882.50 |
Wellpoint Setting Professional Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $8,912.51 | Professional | None | $4,365.16 | $5,888.44 | $8,912.51 |
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 $2,570.40 Median $3,311.31 Typical High $3,311.31 | Professional | 52 · Reduced service | $2,570.40 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,318.26 Typical High $1,318.26 | Professional | 53 · Discontinued | $1,023.29 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,890.45 Median $4,897.79 Typical High $4,897.79 | Professional | 54 · Surgery only | $3,890.45 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $977.24 Typical High $977.24 | Professional | 55 · Aftercare only | $776.25 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | 56 · Pre-op care only | $512.86 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,630.78 Median $4,570.88 Typical High $4,570.88 | Professional | 78 · Unplanned return to OR | $3,630.78 | $4,570.88 | $4,570.88 |
Where Washington sits
The same service costs 20.0 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· 47th of 51
$3,890
AK $15,488TX $776
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.