How much rates vary
Facilitymedian $1,950 · 10th to 90th $724 to $4,467Professionalmedian $603 · 10th to 90th $95 to $1,202
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 $645.65 Median $11,220.18 Typical High $21,877.62 | Facility | None | $645.65 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $977.24 | Professional | None | $645.65 | $645.65 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $954.99 Typical High $1,905.46 | Facility | None | $380.19 | $954.99 | $1,905.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $8,317.64 | Professional | None | $758.58 | $1,412.54 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,621.81 | Professional | None | $630.96 | $691.83 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,380.38 | Professional | None | $645.65 | $1,148.15 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $562.34 Typical High $1,174.90 | Professional | None | $93.33 | $562.34 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,096.48 | Facility | None | $630.96 | $1,023.29 | $1,096.48 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,621.81 | $2,290.87 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,513.56 | Professional | None | $758.58 | $1,096.48 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,890.45 | Facility | None | $1,479.11 | $2,137.96 | $3,890.45 |
United Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,737.80 | Professional | None | $660.69 | $933.25 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,047.13 | Professional | None | $691.83 | $724.44 | $1,047.13 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Where Washington sits
The same service costs 6.0 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· 43rd of 51
$617
AK $2,239UT $372
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.