How much rates vary
Facilitymedian $2,291 · 10th to 90th $832 to $6,761Professionalmedian $1,622 · 10th to 90th $158 to $3,090
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 $1,778.28 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,778.28 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,819.70 | Professional | None | $1,412.54 | $1,778.28 | $1,819.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $933.25 Typical High $8,511.38 | Facility | None | $30.20 | $933.25 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,862.09 Median $10,471.29 Typical High $12,589.25 | Professional | None | $1,862.09 | $10,471.29 | $12,589.25 |
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 $1,659.59 Median $1,862.09 Typical High $3,981.07 | Professional | None | $1,659.59 | $1,862.09 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $3,548.13 | Professional | None | $1,737.80 | $2,818.38 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $1,513.56 Typical High $3,019.95 | Professional | None | $154.88 | $1,513.56 | $3,019.95 |
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $2,754.23 | Facility | None | $1,949.84 | $2,691.53 | $2,754.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Facility | None | $1,862.09 | $1,862.09 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,754.23 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $6,760.83 | Facility | None | $1,479.11 | $2,398.83 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,398.83 | $4,265.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,698.24 | $1,737.80 | $2,511.89 |
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 $891.25 Median $891.25 Typical High $912.01 | Professional | 52 · Reduced service | $891.25 | $891.25 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 53 · Discontinued | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $181.97 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,258.93 |
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· 39th of 51
$1,622
AK $5,623UT $977
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.