How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $2,344Professionalmedian $1,096 · 10th to 90th $105 to $2,089
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 $1,174.90 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,174.90 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,202.26 | Professional | None | $1,174.90 | $1,174.90 | $1,202.26 |
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 $1,258.93 Median $6,760.83 Typical High $7,079.46 | Professional | None | $1,258.93 | $6,760.83 | $7,079.46 |
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 $1,230.27 Typical High $2,630.27 | Professional | None | $1,122.02 | $1,230.27 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,862.09 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $1,023.29 Typical High $2,041.74 | Professional | None | $102.33 | $1,023.29 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,380.38 | $1,737.80 | $1,819.70 |
Premera BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,258.93 | Facility | None | $1,230.27 | $1,230.27 | $1,258.93 |
Premera BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,819.70 | $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 $1,148.15 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,148.15 | $1,584.89 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,174.90 | $1,698.24 |
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 $588.84 Median $588.84 Typical High $602.56 | Professional | 52 · Reduced service | $588.84 | $588.84 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | 53 · Discontinued | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 54 · Surgery only | $891.25 | $891.25 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $181.97 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $851.14 |
Where Washington sits
The same service costs 5.6 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· 35th of 51
$1,096
AK $3,715UT $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.