How much rates vary
Facilitymedian $955 · 10th to 90th $575 to $5,012Professionalmedian $851 · 10th to 90th $138 to $1,698
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 $933.25 Median $12,302.69 Typical High $25,118.86 | Facility | None | $933.25 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $524.81 Typical High $5,011.87 | Facility | None | $30.20 | $524.81 | $5,011.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,096.48 Median $5,754.40 Typical High $6,025.60 | Professional | None | $1,096.48 | $5,754.40 | $6,025.60 |
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 $912.01 Median $1,000.00 Typical High $2,290.87 | Professional | None | $912.01 | $1,000.00 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,621.81 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $776.25 Typical High $1,659.59 | Professional | None | $134.90 | $776.25 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,621.81 | Facility | None | $1,096.48 | $1,548.82 | $1,621.81 |
Premera BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Facility | None | $1,071.52 | $1,071.52 | $1,096.48 |
Premera BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,584.89 | $2,187.76 |
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 $977.24 Median $1,380.38 Typical High $2,454.71 | Professional | None | $977.24 | $1,380.38 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,445.44 | Professional | None | $954.99 | $1,000.00 | $1,445.44 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $691.83 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $645.65 | $660.69 | $660.69 |
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· 41st of 51
$851
AK $3,236UT $525
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.