How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,445 to $17,783Professionalmedian $1,778 · 10th to 90th $302 to $3,890
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 $794.33 Median $9,549.93 Typical High $21,877.62 | Facility | None | $794.33 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $1,380.38 Typical High $2,344.23 | Professional | None | $537.03 | $1,380.38 | $2,344.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $302.00 Median $1,905.46 Typical High $19,054.61 | Facility | None | $302.00 | $1,905.46 | $19,054.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $691.83 Median $3,548.13 Typical High $13,803.84 | Professional | None | $691.83 | $3,548.13 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,981.07 Typical High $7,079.46 | Facility | None | $891.25 | $3,981.07 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,584.89 Typical High $4,570.88 | Professional | None | $501.19 | $1,584.89 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $3,388.44 Typical High $5,623.41 | Professional | None | $812.83 | $3,388.44 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $1,778.28 Typical High $3,715.35 | Professional | None | $288.40 | $1,778.28 | $3,715.35 |
Pacific Source Setting Facility Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $3,548.13 | Facility | None | $2,089.30 | $3,090.30 | $3,548.13 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $4,786.30 | Facility | None | $1,819.70 | $2,754.23 | $4,786.30 |
Premera BCBS Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $2,290.87 | Professional | None | $630.96 | $630.96 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,000.00 Median $14,454.40 Typical High $27,542.29 | Facility | None | $10,000.00 | $14,454.40 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $1,949.84 Typical High $4,073.80 | Professional | None | $630.96 | $1,949.84 | $4,073.80 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $19,498.45 | Facility | None | $2,089.30 | $3,630.78 | $19,498.45 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,737.80 Typical High $4,570.88 | Professional | None | $588.84 | $1,737.80 | $4,570.88 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $2,344.23 | Professional | None | $549.54 | $831.76 | $2,344.23 |
4 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 54 · Surgery only Typical Low $407.38 Median $1,023.29 Typical High $1,778.28 | Professional | 54 · Surgery only | $407.38 | $1,023.29 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $204.17 Typical High $354.81 | Professional | 55 · Aftercare only | $81.28 | $204.17 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $138.04 Typical High $234.42 | Professional | 56 · Pre-op care only | $53.70 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $954.99 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $380.19 | $954.99 | $1,659.59 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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· 21st of 51
$1,862
AK $3,981NE $891
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.