How much rates vary
Facilitymedian $2,692 · 10th to 90th $759 to $17,783Professionalmedian $1,047 · 10th to 90th $105 to $1,950
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 $1,122.02 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,122.02 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,148.15 | Professional | None | $1,122.02 | $1,122.02 | $1,148.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $1,148.15 Typical High $19,952.62 | Facility | None | $588.84 | $1,148.15 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,174.90 Median $6,606.93 Typical High $6,760.83 | Professional | None | $1,174.90 | $6,606.93 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,467.37 Typical High $6,456.54 | Facility | None | $630.96 | $3,467.37 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,148.15 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $5,754.40 | Professional | None | $1,348.96 | $2,238.72 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $954.99 Typical High $1,862.09 | Professional | None | $102.33 | $954.99 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,698.24 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,398.83 Typical High $4,466.84 | Facility | None | $1,174.90 | $2,398.83 | $4,466.84 |
Premera BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,000.00 Median $15,135.61 Typical High $28,840.32 | Facility | None | $10,000.00 | $15,135.61 | $28,840.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,698.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $20,892.96 | Facility | None | $1,513.56 | $2,570.40 | $20,892.96 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,691.53 | Professional | None | $1,071.52 | $1,479.11 | $2,691.53 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,122.02 | $1,621.81 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | 53 · Discontinued | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | 54 · Surgery only | $831.76 | $831.76 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $794.33 |
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· 40th of 51
$1,047
AK $3,548UT $631
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.