How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $5,754Professionalmedian $724 · 10th to 90th $91 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 $1,202.26 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,202.26 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,230.27 | Professional | None | $1,202.26 | $1,202.26 | $1,230.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $630.96 Typical High $5,754.40 | Facility | None | $30.20 | $630.96 | $5,754.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,288.25 Median $6,918.31 Typical High $7,244.36 | Professional | None | $1,288.25 | $6,918.31 | $7,244.36 |
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 $1,122.02 Median $1,258.93 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,258.93 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,905.46 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $630.96 Typical High $1,949.84 | Professional | None | $85.11 | $630.96 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $1,862.09 | Facility | None | $1,412.54 | $1,819.70 | $1,862.09 |
Premera BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Facility | None | $1,258.93 | $1,258.93 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,862.09 | $2,511.89 |
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 $1,174.90 Median $1,621.81 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,621.81 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,202.26 | $1,737.80 |
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 $602.56 Typical High $616.60 | Professional | 52 · Reduced service | $602.56 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 53 · Discontinued | $239.88 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
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
$724
AK $3,802TX $575
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.