How much rates vary
Facilitymedian $2,455 · 10th to 90th $832 to $13,183Professionalmedian $1,096 · 10th to 90th $155 to $2,188
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 $1,258.93 Median $8,912.51 Typical High $21,877.62 | Facility | None | $1,258.93 | $8,912.51 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,412.54 | Professional | None | $1,000.00 | $1,258.93 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $645.65 Median $1,513.56 Typical High $13,489.63 | Facility | None | $645.65 | $1,513.56 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,318.26 Median $7,244.36 Typical High $7,413.10 | Professional | None | $1,318.26 | $7,244.36 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,265.80 | Facility | None | $707.95 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,288.25 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,290.87 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $1,023.29 Typical High $2,089.30 | Professional | None | $154.88 | $1,023.29 | $2,089.30 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,819.70 | $1,905.46 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $3,019.95 | Facility | None | $1,288.25 | $1,862.09 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,762.47 Median $10,232.93 Typical High $19,498.45 | Facility | None | $7,762.47 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,318.26 | $1,905.46 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $13,803.84 | Facility | None | $2,089.30 | $3,548.13 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,202.26 | $1,659.59 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,230.27 | $1,778.28 |
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 $630.96 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $630.96 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 53 · Discontinued | $251.19 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $954.99 |
Where Washington sits
The same service costs 5.9 times more in Oklahoma 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· 45th of 51
$1,122
OK $4,074UT $692
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.