How much rates vary
Facilitymedian $3,162 · 10th to 90th $891 to $18,197Professionalmedian $1,585 · 10th to 90th $209 to $3,090
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 $1,862.09 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,862.09 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,862.09 | $1,862.09 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $19,952.62 | Facility | None | $691.83 | $1,513.56 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $11,481.54 | Professional | None | $1,905.46 | $3,548.13 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,467.37 Typical High $6,456.54 | Facility | None | $707.95 | $3,467.37 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $3,981.07 | Professional | None | $1,698.24 | $1,862.09 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $5,754.40 | Professional | None | $2,187.76 | $3,311.31 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,479.11 Typical High $2,951.21 | Professional | None | $204.17 | $1,479.11 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $2,818.38 | Facility | None | $1,995.26 | $2,754.23 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $5,128.61 | Facility | None | $1,380.38 | $2,630.27 | $5,128.61 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
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 $1,905.46 Median $2,754.23 Typical High $3,801.89 | Professional | None | $1,905.46 | $2,754.23 | $3,801.89 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $20,892.96 | Facility | None | $2,089.30 | $3,548.13 | $20,892.96 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $4,365.16 | Professional | None | $1,778.28 | $2,398.83 | $4,365.16 |
Wellpoint Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $2,570.40 | Professional | None | $1,698.24 | $1,778.28 | $2,570.40 |
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 $933.25 Median $933.25 Typical High $1,000.00 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | 53 · Discontinued | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,412.54 |
Where Washington sits
The same service costs 5.8 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· 42nd of 51
$1,622
AK $5,623UT $977
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.