How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $2,344Professionalmedian $1,047 · 10th to 90th $105 to $1,995
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 $1,148.15 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,148.15 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,174.90 | Professional | None | $1,148.15 | $1,148.15 | $1,174.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $602.56 Typical High $5,495.41 | Facility | None | $30.20 | $602.56 | $5,495.41 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,202.26 Median $6,606.93 Typical High $6,918.31 | Professional | None | $1,202.26 | $6,606.93 | $6,918.31 |
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 $1,071.52 Median $1,202.26 Typical High $2,570.40 | Professional | None | $1,071.52 | $1,202.26 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $2,290.87 | Professional | None | $1,122.02 | $1,819.70 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $977.24 Typical High $1,949.84 | Professional | None | $102.33 | $977.24 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,348.96 | $1,737.80 | $1,778.28 |
Premera BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,230.27 | Facility | None | $1,202.26 | $1,202.26 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,778.28 | $2,398.83 |
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 $1,122.02 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,122.02 | $1,513.56 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,148.15 | $1,659.59 |
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 $575.44 Median $575.44 Typical High $588.84 | Professional | 52 · Reduced service | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 53 · Discontinued | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
Where Washington sits
The same service costs 5.8 times more in Alaska than in Utah. 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
$1,047
AK $3,631UT $631
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.