How much rates vary
Facilitymedian $955 · 10th to 90th $589 to $2,291Professionalmedian $1,202 · 10th to 90th $141 to $2,344
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 $1,548.82 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,548.82 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,548.82 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $794.33 Typical High $7,079.46 | Facility | None | $30.20 | $794.33 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $7,943.28 Typical High $9,332.54 | Professional | None | $1,819.70 | $7,943.28 | $9,332.54 |
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 $1,202.26 Median $1,348.96 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,348.96 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,737.80 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $1,096.48 Typical High $2,187.76 | Professional | None | $131.83 | $1,096.48 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $2,290.87 | Facility | None | $1,584.89 | $2,137.96 | $2,290.87 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,819.70 | $1,819.70 | $2,570.40 |
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 $1,621.81 Typical High $2,951.21 | Professional | None | $1,318.26 | $1,621.81 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,412.54 | $2,137.96 |
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 $602.56 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $602.56 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $891.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $120.23 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $831.76 | $1,071.52 | $1,071.52 |
Where Washington sits
The same service costs 5.6 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
$1,202
AK $4,266TX $759
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.