How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $5,754Professionalmedian $955 · 10th to 90th $151 to $1,950
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 $1,071.52 Median $12,589.25 Typical High $24,547.09 | Facility | None | $1,071.52 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | None | $912.01 | $1,071.52 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $602.56 Typical High $5,754.40 | Facility | None | $30.20 | $602.56 | $5,754.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,258.93 Median $6,606.93 Typical High $6,918.31 | Professional | None | $1,258.93 | $6,606.93 | $6,918.31 |
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 $1,047.13 Median $1,174.90 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,174.90 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,862.09 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $870.96 Typical High $1,862.09 | Professional | None | $147.91 | $870.96 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $1,862.09 | Facility | None | $1,318.26 | $1,778.28 | $1,862.09 |
Premera BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,258.93 | Facility | None | $1,230.27 | $1,230.27 | $1,258.93 |
Premera BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,819.70 | $2,511.89 |
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 $1,122.02 Median $1,584.89 Typical High $2,818.38 | Professional | None | $1,122.02 | $1,584.89 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,148.15 | $1,659.59 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $794.33 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $741.31 | $758.58 | $758.58 |
Where Washington sits
The same service costs 6.3 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
$955
AK $3,715UT $589
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.