How much rates vary
Facilitymedian $2,570 · 10th to 90th $813 to $18,197Professionalmedian $1,000 · 10th to 90th $155 to $1,950
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 $1,148.15 Median $6,165.95 Typical High $20,892.96 | Facility | None | $1,148.15 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,148.15 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $13,803.84 Typical High $28,840.32 | Facility | None | $588.84 | $13,803.84 | $28,840.32 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,174.90 Median $6,309.57 Typical High $6,606.93 | Professional | None | $1,174.90 | $6,309.57 | $6,606.93 |
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 $1,047.13 Median $1,148.15 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,148.15 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $5,754.40 | Professional | None | $1,348.96 | $2,238.72 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $933.25 Typical High $1,862.09 | Professional | None | $151.36 | $933.25 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $1,737.80 | Facility | None | $1,318.26 | $1,659.59 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $4,466.84 | Facility | None | $812.83 | $2,398.83 | $4,466.84 |
Premera BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
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 $1,174.90 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,698.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $20,892.96 | Facility | None | $1,202.26 | $1,949.84 | $20,892.96 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,691.53 | Professional | None | $1,071.52 | $1,479.11 | $2,691.53 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,122.02 | $1,621.81 |
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 $575.44 Median $575.44 Typical High $616.60 | Professional | 52 · Reduced service | $575.44 | $575.44 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | 53 · Discontinued | $229.09 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $933.25 | Professional | 54 · Surgery only | $870.96 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $870.96 |
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· 38th of 51
$1,023
AK $3,548UT $617
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.