How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $5,012Professionalmedian $1,995 · 10th to 90th $316 to $5,754
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 $3,162.28 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,162.28 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,570.40 | $3,162.28 | $3,630.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,862.09 Typical High $15,488.17 | Facility | None | $30.20 | $1,862.09 | $15,488.17 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,548.13 Median $18,197.01 Typical High $22,387.21 | Professional | None | $3,548.13 | $18,197.01 | $22,387.21 |
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 $3,090.30 Median $3,388.44 Typical High $7,244.36 | Professional | None | $3,090.30 | $3,388.44 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $6,606.93 | Professional | None | $3,235.94 | $5,248.07 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $302.00 Median $1,584.89 Typical High $5,370.32 | Professional | None | $302.00 | $1,584.89 | $5,370.32 |
Pacific Source Setting Facility Modifier None Typical Low $3,715.35 Median $4,570.88 Typical High $5,128.61 | Facility | None | $3,715.35 | $4,570.88 | $5,128.61 |
Premera BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,548.13 | Facility | None | $3,467.37 | $3,467.37 | $3,548.13 |
Premera BCBS Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,548.13 Median $5,128.61 Typical High $7,079.46 | Professional | None | $3,548.13 | $5,128.61 | $7,079.46 |
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 $3,162.28 Median $4,365.16 Typical High $8,128.31 | Professional | None | $3,162.28 | $4,365.16 | $8,128.31 |
Wellpoint Setting Professional Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $5,011.87 | Professional | None | $3,235.94 | $3,388.44 | $5,011.87 |
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 $1,584.89 Median $1,584.89 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | 53 · Discontinued | $630.96 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,454.71 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $501.19 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,290.87 |
Where Washington sits
The same service costs 17.0 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
$1,950
AK $10,471TX $617
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.