How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,291Professionalmedian $871 · 10th to 90th $91 to $2,399
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 $1,380.38 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,380.38 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $776.25 Typical High $6,760.83 | Facility | None | $30.20 | $776.25 | $6,760.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $8,912.51 | Professional | None | $1,479.11 | $7,585.78 | $8,912.51 |
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 $1,288.25 Median $1,412.54 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,412.54 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,318.26 | $2,187.76 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $741.31 Typical High $2,344.23 | Professional | None | $87.10 | $741.31 | $2,344.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,187.76 | Facility | None | $1,698.24 | $2,041.74 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,479.11 | $2,137.96 | $2,951.21 |
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 $1,862.09 Typical High $3,388.44 | Professional | None | $1,318.26 | $1,862.09 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,412.54 | $2,089.30 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Where Washington sits
The same service costs 6.6 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· 49th of 51
$871
AK $4,365TX $661
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.