How much rates vary
Facilitymedian $3,388 · 10th to 90th $832 to $28,184Professionalmedian $851 · 10th to 90th $141 to $1,698
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 $891.25 Median $7,943.28 Typical High $27,542.29 | Facility | None | $891.25 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $20,417.38 Typical High $41,686.94 | Facility | None | $512.86 | $20,417.38 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $6,025.60 | Professional | None | $1,047.13 | $1,949.84 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,073.80 Typical High $7,585.78 | Facility | None | $707.95 | $4,073.80 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $2,187.76 | Professional | None | $891.25 | $977.24 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $6,309.57 | Professional | None | $1,071.52 | $1,862.09 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $776.25 Typical High $1,659.59 | Professional | None | $138.04 | $776.25 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $1,513.56 | Facility | None | $870.96 | $1,479.11 | $1,513.56 |
Premera BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $2,884.03 Typical High $4,570.88 | Facility | None | $1,023.29 | $2,884.03 | $4,570.88 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,791.08 Median $21,877.62 Typical High $41,686.94 | Facility | None | $14,791.08 | $21,877.62 | $41,686.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,513.56 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $28,840.32 | Facility | None | $1,513.56 | $2,570.40 | $28,840.32 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $2,398.83 | Professional | None | $912.01 | $1,288.25 | $2,398.83 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,412.54 | Professional | None | $933.25 | $977.24 | $1,412.54 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Where Washington sits
The same service costs 6.8 times more in Oklahoma 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· 44th of 51
$851
OK $3,548TX $525
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.