How much rates vary
Facilitymedian $933 · 10th to 90th $603 to $2,399Professionalmedian $1,479 · 10th to 90th $234 to $2,951
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 $1,513.56 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,513.56 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,513.56 | $1,513.56 | $1,698.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $933.25 Typical High $7,585.78 | Facility | None | $30.20 | $933.25 | $7,585.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,698.24 Median $9,549.93 Typical High $11,220.18 | Professional | None | $1,698.24 | $9,549.93 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,548.13 | Professional | None | $1,479.11 | $1,621.81 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,162.28 | Professional | None | $1,548.82 | $2,570.40 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $1,380.38 Typical High $2,884.03 | Professional | None | $229.09 | $1,380.38 | $2,884.03 |
Pacific Source Setting Facility Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $2,454.71 | Facility | None | $1,737.80 | $2,344.23 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,659.59 | $1,659.59 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,388.44 | Professional | None | $1,698.24 | $2,454.71 | $3,388.44 |
United Setting Facility Modifier None Typical Low $575.44 Median $794.33 Typical High $1,479.11 | Facility | None | $575.44 | $794.33 | $1,479.11 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $3,890.45 | Professional | None | $1,479.11 | $2,089.30 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,659.59 | $1,698.24 | $2,511.89 |
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 $758.58 Median $758.58 Typical High $794.33 | Professional | 52 · Reduced service | $758.58 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | 53 · Discontinued | $302.00 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,122.02 |
Where Washington sits
The same service costs 5.6 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· 34th of 51
$1,479
AK $5,012TX $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.