How much rates vary
Facilitymedian $1,905 · 10th to 90th $631 to $12,303Professionalmedian $513 · 10th to 90th $76 to $933
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 $512.86 Median $6,456.54 Typical High $20,892.96 | Facility | None | $512.86 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | None | $512.86 | $512.86 | $524.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $275.42 Median $1,148.15 Typical High $13,489.63 | Facility | None | $275.42 | $1,148.15 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $5,128.61 | Professional | None | $537.03 | $1,000.00 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $4,073.80 | Facility | None | $630.96 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $1,148.15 | Professional | None | $478.63 | $524.81 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $1,000.00 Typical High $3,630.78 | Professional | None | $602.56 | $1,000.00 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $501.19 Typical High $912.01 | Professional | None | $74.13 | $501.19 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $758.58 Typical High $794.33 | Facility | None | $457.09 | $758.58 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $2,884.03 | Facility | None | $758.58 | $1,584.89 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
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 $537.03 Median $776.25 Typical High $1,096.48 | Professional | None | $537.03 | $776.25 | $1,096.48 |
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 $489.78 Median $691.83 Typical High $1,230.27 | Professional | None | $489.78 | $691.83 | $1,230.27 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $758.58 | Professional | None | $501.19 | $524.81 | $758.58 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 54 · Surgery only | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $363.08 |
Where Washington sits
The same service costs 6.2 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
$537
AK $1,862UT $302
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.