How much rates vary
Facilitymedian $2,188 · 10th to 90th $891 to $13,183Professionalmedian $794 · 10th to 90th $105 to $1,549
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 $933.25 Median $11,220.18 Typical High $21,877.62 | Facility | None | $933.25 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Professional | None | $933.25 | $933.25 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $478.63 Median $1,621.81 Typical High $13,489.63 | Facility | None | $478.63 | $1,621.81 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $954.99 Median $1,778.28 Typical High $6,025.60 | Professional | None | $954.99 | $1,778.28 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $4,265.80 | Facility | None | $891.25 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,995.26 | Professional | None | $851.14 | $933.25 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,630.78 | Professional | None | $1,071.52 | $1,737.80 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $741.31 Typical High $1,513.56 | Professional | None | $102.33 | $741.31 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $812.83 Median $1,348.96 Typical High $1,412.54 | Facility | None | $812.83 | $1,348.96 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,884.03 | Facility | None | $933.25 | $1,659.59 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,762.47 Median $10,000.00 Typical High $19,498.45 | Facility | None | $7,762.47 | $10,000.00 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $1,905.46 | Professional | None | $954.99 | $1,380.38 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $13,803.84 | Facility | None | $1,513.56 | $2,570.40 | $13,803.84 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $2,187.76 | Professional | None | $870.96 | $1,202.26 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $891.25 Typical High $1,318.26 | Professional | None | $870.96 | $891.25 | $1,318.26 |
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 $467.74 Median $467.74 Typical High $501.19 | Professional | 52 · Reduced service | $467.74 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | 53 · Discontinued | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | 54 · Surgery only | $691.83 | $691.83 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $147.91 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $691.83 |
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· 41st of 51
$832
AK $2,818UT $490
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.