How much rates vary
Facilitymedian $1,862 · 10th to 90th $708 to $6,166Professionalmedian $525 · 10th to 90th $91 to $1,479
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 $851.14 Median $11,220.18 Typical High $21,877.62 | Facility | None | $851.14 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | None | $831.76 | $851.14 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $478.63 Typical High $4,466.84 | Facility | None | $30.20 | $478.63 | $4,466.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $977.24 Median $5,128.61 Typical High $5,495.41 | Professional | None | $977.24 | $5,128.61 | $5,495.41 |
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 $812.83 Median $891.25 Typical High $2,041.74 | Professional | None | $812.83 | $891.25 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $1,862.09 | Professional | None | $912.01 | $1,445.44 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $436.52 Typical High $1,412.54 | Professional | None | $85.11 | $436.52 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,445.44 | Facility | None | $831.76 | $1,288.25 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Premera BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,949.84 | Professional | None | $977.24 | $1,412.54 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,897.79 | Facility | None | $1,479.11 | $2,398.83 | $4,897.79 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $2,238.72 | Professional | None | $870.96 | $1,230.27 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,288.25 | Professional | None | $851.14 | $891.25 | $1,288.25 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $83.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
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
$550
AK $2,884TX $417
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.