How much rates vary
Facilitymedian $2,188 · 10th to 90th $661 to $17,378Professionalmedian $457 · 10th to 90th $89 to $955
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 $575.44 Median $6,456.54 Typical High $20,892.96 | Facility | None | $575.44 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $316.23 Median $1,148.15 Typical High $19,054.61 | Facility | None | $316.23 | $1,148.15 | $19,054.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $3,715.35 | Professional | None | $676.08 | $1,202.26 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,884.03 Typical High $5,495.41 | Facility | None | $630.96 | $2,884.03 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,445.44 | Professional | None | $537.03 | $758.58 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $4,570.88 | Professional | None | $691.83 | $1,288.25 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $436.52 Typical High $912.01 | Professional | None | $87.10 | $436.52 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $1,000.00 | Facility | None | $630.96 | $851.14 | $1,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $2,041.74 Typical High $3,801.89 | Facility | None | $758.58 | $2,041.74 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $676.08 Median $954.99 Typical High $1,380.38 | Professional | None | $676.08 | $954.99 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $19,498.45 | Facility | None | $1,202.26 | $1,949.84 | $19,498.45 |
United Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,548.82 | Professional | None | $524.81 | $741.31 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $870.96 | Professional | None | $575.44 | $602.56 | $870.96 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $426.58 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $398.11 | $407.38 | $407.38 |
Where Washington sits
The same service costs 6.5 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· 46th of 51
$468
AK $1,995TX $309
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.