How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $3,236Professionalmedian $1,778 · 10th to 90th $209 to $3,548
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 $2,089.30 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,089.30 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,089.30 | $2,238.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,071.52 Typical High $9,772.37 | Facility | None | $30.20 | $1,071.52 | $9,772.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,187.76 Median $11,748.98 Typical High $12,022.64 | Professional | None | $2,187.76 | $11,748.98 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $4,570.88 | Professional | None | $1,949.84 | $2,137.96 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $4,073.80 | Professional | None | $1,995.26 | $3,235.94 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,659.59 Typical High $3,388.44 | Professional | None | $204.17 | $1,659.59 | $3,388.44 |
Pacific Source Setting Facility Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $3,235.94 | Facility | None | $2,290.87 | $3,090.30 | $3,235.94 |
Premera BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,187.76 | Facility | None | $2,137.96 | $2,137.96 | $2,187.76 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,265.80 | Professional | None | $2,187.76 | $3,162.28 | $4,265.80 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $5,011.87 | Professional | None | $1,995.26 | $2,754.23 | $5,011.87 |
Wellpoint Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,949.84 | $1,995.26 | $2,884.03 |
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 $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | 53 · Discontinued | $416.87 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $338.84 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,584.89 |
Where Washington sits
The same service costs 5.9 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· 36th of 51
$1,778
AK $6,457TX $1,096
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.