How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $2,818Professionalmedian $1,072 · 10th to 90th $195 to $3,090
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 $1,659.59 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,659.59 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,000.00 Typical High $8,912.51 | Facility | None | $30.20 | $1,000.00 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,949.84 Median $10,232.93 Typical High $11,481.54 | Professional | None | $1,949.84 | $10,232.93 | $11,481.54 |
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 $1,698.24 Median $1,862.09 Typical High $4,073.80 | Professional | None | $1,698.24 | $1,862.09 | $4,073.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,951.21 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $891.25 Typical High $2,951.21 | Professional | None | $186.21 | $891.25 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $2,818.38 | Facility | None | $1,862.09 | $2,691.53 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,905.46 | $1,949.84 |
Premera BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | None | $12,022.64 | $12,022.64 | $12,022.64 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,818.38 | $3,890.45 |
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 $1,698.24 Median $2,398.83 Typical High $4,466.84 | Professional | None | $1,698.24 | $2,398.83 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,778.28 | $1,862.09 | $2,691.53 |
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 $812.83 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $812.83 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $245.47 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
Where Washington sits
The same service costs 7.1 times more in Alaska 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· 49th of 51
$1,072
AK $5,754TX $813
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.