How much rates vary
Facilitymedian $4,074 · 10th to 90th $871 to $28,184Professionalmedian $955 · 10th to 90th $162 to $2,692
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 $1,548.82 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,548.82 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,513.56 | $1,548.82 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $870.96 Median $20,417.38 Typical High $41,686.94 | Facility | None | $870.96 | $20,417.38 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $9,332.54 Typical High $10,000.00 | Professional | None | $1,819.70 | $9,332.54 | $10,000.00 |
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 $1,513.56 Median $1,698.24 Typical High $3,715.35 | Professional | None | $1,513.56 | $1,698.24 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $3,235.94 Typical High $6,309.57 | Professional | None | $1,819.70 | $3,235.94 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $794.33 Typical High $2,570.40 | Professional | None | $158.49 | $794.33 | $2,570.40 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $2,630.27 | Facility | None | $1,819.70 | $2,511.89 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $4,570.88 | Facility | None | $1,778.28 | $2,884.03 | $4,570.88 |
Premera BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $1,819.70 Median $2,570.40 Typical High $3,548.13 | Professional | None | $1,819.70 | $2,570.40 | $3,548.13 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $28,840.32 | Facility | None | $2,089.30 | $3,548.13 | $28,840.32 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $4,073.80 | Professional | None | $1,621.81 | $2,238.72 | $4,073.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,548.82 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,548.82 | $1,621.81 | $2,344.23 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $302.00 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $151.36 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,071.52 |
Where Washington sits
The same service costs 6.9 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
$1,000
AK $5,370TX $776
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.