How much rates vary
Facilitymedian $1,950 · 10th to 90th $891 to $13,183Professionalmedian $776 · 10th to 90th $83 to $1,380
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 $776.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $776.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $1,621.81 Typical High $13,489.63 | Facility | None | $407.38 | $1,621.81 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $9,772.37 | Professional | None | $812.83 | $1,513.56 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $4,265.80 | Facility | None | $891.25 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,698.24 | Professional | None | $707.95 | $794.33 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $3,630.78 | Professional | None | $891.25 | $1,513.56 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $741.31 Typical High $1,348.96 | Professional | None | $81.28 | $741.31 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,202.26 | Facility | None | $831.76 | $1,148.15 | $1,202.26 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,884.03 | Facility | None | $870.96 | $1,659.59 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $10,232.93 Typical High $19,498.45 | Facility | None | $6,760.83 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,621.81 | Professional | None | $812.83 | $1,174.90 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $13,803.84 | Facility | None | $1,202.26 | $1,949.84 | $13,803.84 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,862.09 | Professional | None | $741.31 | $1,023.29 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,122.02 | Professional | None | $741.31 | $776.25 | $1,122.02 |
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 $380.19 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 54 · Surgery only | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $549.54 |
Where Washington sits
The same service costs 5.4 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· 36th of 51
$794
AK $2,399UT $447
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.