How much rates vary
Facilitymedian $977 · 10th to 90th $562 to $2,188Professionalmedian $871 · 10th to 90th $141 to $1,778
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 $977.24 Median $7,943.28 Typical High $27,542.29 | Facility | None | $977.24 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $549.54 Typical High $5,248.07 | Facility | None | $30.20 | $549.54 | $5,248.07 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,148.15 Median $6,025.60 Typical High $6,309.57 | Professional | None | $1,148.15 | $6,025.60 | $6,309.57 |
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 $954.99 Median $1,047.13 Typical High $2,398.83 | Professional | None | $954.99 | $1,047.13 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,698.24 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $812.83 Typical High $1,698.24 | Professional | None | $134.90 | $812.83 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,174.90 | $1,584.89 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,148.15 | Facility | None | $1,122.02 | $1,122.02 | $1,148.15 |
Premera BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,659.59 | $2,290.87 |
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 $1,000.00 Median $1,412.54 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,412.54 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,023.29 | $1,513.56 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $724.44 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $676.08 | $691.83 | $691.83 |
Where Washington sits
The same service costs 6.3 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· 41st of 51
$871
AK $3,388UT $537
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.