How much rates vary
Facilitymedian $2,884 · 10th to 90th $741 to $19,055Professionalmedian $646 · 10th to 90th $100 to $1,349
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 $724.44 Median $7,943.28 Typical High $27,542.29 | Facility | None | $724.44 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $13,182.57 Typical High $27,542.29 | Facility | None | $416.87 | $13,182.57 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $851.14 Median $4,466.84 Typical High $4,786.30 | Professional | None | $851.14 | $4,466.84 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,884.03 Typical High $5,495.41 | Facility | None | $707.95 | $2,884.03 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,778.28 | Professional | None | $707.95 | $776.25 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,513.56 Typical High $4,570.88 | Professional | None | $831.76 | $1,513.56 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $588.84 Typical High $1,318.26 | Professional | None | $100.00 | $588.84 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,202.26 | Facility | None | $831.76 | $1,096.48 | $1,202.26 |
Premera BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $3,090.30 | Facility | None | $831.76 | $1,949.84 | $3,090.30 |
Premera BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,549.93 Median $14,454.40 Typical High $27,542.29 | Facility | None | $9,549.93 | $14,454.40 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,698.24 | Professional | None | $851.14 | $1,230.27 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $19,498.45 | Facility | None | $1,513.56 | $2,570.40 | $19,498.45 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,949.84 | Professional | None | $741.31 | $1,047.13 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,122.02 | Professional | None | $741.31 | $776.25 | $1,122.02 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $537.03 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $501.19 | $512.86 | $512.86 |
Where Washington sits
The same service costs 6.2 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· 44th of 51
$661
AK $2,512UT $407
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.