How much rates vary
Facilitymedian $10,471 · 10th to 90th $759 to $64,565Professionalmedian $794 · 10th to 90th $65 to $1,778
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 $1,023.29 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,023.29 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $1,148.15 Typical High $77,624.71 | Facility | None | $537.03 | $1,148.15 | $77,624.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $7,413.10 | Professional | None | $1,071.52 | $1,995.26 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $21,877.62 Typical High $41,686.94 | Facility | None | $630.96 | $21,877.62 | $41,686.94 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $2,238.72 | Professional | None | $954.99 | $1,047.13 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $37,153.52 | Professional | None | $1,202.26 | $1,995.26 | $37,153.52 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $691.83 Typical High $1,698.24 | Professional | None | $63.10 | $691.83 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,479.11 | $1,584.89 |
Premera BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $16,982.44 Typical High $28,183.83 | Facility | None | $5,495.41 | $16,982.44 | $28,183.83 |
Premera BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $39,810.72 Median $58,884.37 Typical High $112,201.85 | Facility | None | $39,810.72 | $58,884.37 | $112,201.85 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,548.82 | $2,187.76 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $7,244.36 Typical High $81,283.05 | Facility | None | $3,715.35 | $7,244.36 | $81,283.05 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $2,454.71 | Professional | None | $977.24 | $1,348.96 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,479.11 | Professional | None | $977.24 | $1,023.29 | $1,479.11 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 53 · Discontinued | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $724.44 |
Where Washington sits
The same service costs 6.8 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· 47th of 51
$832
AK $3,715TX $550
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.