How much rates vary
Facilitymedian $955 · 10th to 90th $589 to $2,138Professionalmedian $589 · 10th to 90th $135 to $1,738
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 $977.24 Median $7,943.28 Typical High $27,542.29 | Facility | None | $977.24 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $977.24 | Professional | None | $933.25 | $977.24 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $602.56 Typical High $5,495.41 | Facility | None | $30.20 | $602.56 | $5,495.41 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,230.27 Median $6,309.57 Typical High $7,244.36 | Professional | None | $1,230.27 | $6,309.57 | $7,244.36 |
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 $1,148.15 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,148.15 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,819.70 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $501.19 Typical High $1,584.89 | Professional | None | $128.82 | $501.19 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,023.29 | $1,698.24 | $1,819.70 |
Premera BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,202.26 | $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 $1,230.27 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,778.28 | $2,454.71 |
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 $1,096.48 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,548.82 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,122.02 | $1,621.81 |
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 $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $467.74 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $190.55 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $707.95 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $141.25 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $660.69 | $691.83 | $691.83 |
Where Washington sits
The same service costs 6.6 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
$603
AK $2,884TX $437
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.