How much rates vary
Facilitymedian $2,399 · 10th to 90th $646 to $13,490Professionalmedian $6,026 · 10th to 90th $4,074 to $30,903
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 $4,677.35 Median $7,943.28 Typical High $27,542.29 | Facility | None | $4,677.35 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,888.44 | Professional | None | $5,495.41 | $5,495.41 | $5,888.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,019.95 Median $10,232.93 Typical High $22,908.68 | Facility | None | $3,019.95 | $10,232.93 | $22,908.68 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5,623.41 Median $12,882.50 Typical High $35,481.34 | Professional | None | $5,623.41 | $12,882.50 | $35,481.34 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $4,265.80 | Facility | None | $707.95 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $6,025.60 Median $9,549.93 Typical High $12,882.50 | Professional | None | $6,025.60 | $9,549.93 | $12,882.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $4,073.80 Typical High $10,000.00 | Professional | None | $2,089.30 | $4,073.80 | $10,000.00 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $5,011.87 Median $7,079.46 Typical High $8,317.64 | Facility | None | $5,011.87 | $7,079.46 | $8,317.64 |
Premera BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $5,495.41 | Facility | None | $1,445.44 | $2,290.87 | $5,495.41 |
Premera BCBS Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,754.40 | $5,754.40 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,762.47 Median $10,471.29 Typical High $19,498.45 | Facility | None | $7,762.47 | $10,471.29 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,623.41 Median $7,943.28 Typical High $11,481.54 | Professional | None | $5,623.41 | $7,943.28 | $11,481.54 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $13,803.84 | Facility | None | $549.54 | $1,000.00 | $13,803.84 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $6,760.83 Typical High $13,489.63 | Professional | None | $4,897.79 | $6,760.83 | $13,489.63 |
Wellpoint Setting Professional Modifier None Typical Low $5,495.41 Median $5,623.41 Typical High $7,585.78 | Professional | None | $5,495.41 | $5,623.41 | $7,585.78 |
5 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 $2,754.23 Median $2,754.23 Typical High $2,951.21 | Professional | 52 · Reduced service | $2,754.23 | $2,754.23 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 53 · Discontinued | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,168.69 Median $4,168.69 Typical High $4,365.16 | Professional | 54 · Surgery only | $4,168.69 | $4,168.69 | $4,365.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | 55 · Aftercare only | $831.76 | $831.76 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $549.54 Median $549.54 Typical High $588.84 | Professional | 56 · Pre-op care only | $549.54 | $549.54 | $588.84 |
Where Washington sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 17th of 51
$5,754
AK $14,125AR $3,236
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.