How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $3,802Professionalmedian $2,188 · 10th to 90th $302 to $4,365
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 $2,344.23 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,344.23 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,454.71 | Professional | None | $2,344.23 | $2,344.23 | $2,454.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,380.38 Typical High $11,481.54 | Facility | None | $30.20 | $1,380.38 | $11,481.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,630.27 Median $13,182.57 Typical High $16,595.87 | Professional | None | $2,630.27 | $13,182.57 | $16,595.87 |
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 $2,290.87 Median $2,511.89 Typical High $5,370.32 | Professional | None | $2,290.87 | $2,511.89 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $3,890.45 Typical High $4,786.30 | Professional | None | $2,238.72 | $3,890.45 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $2,041.74 Typical High $4,265.80 | Professional | None | $295.12 | $2,041.74 | $4,265.80 |
Pacific Source Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $3,890.45 | Facility | None | $2,691.53 | $3,630.78 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,570.40 | $2,570.40 | $2,630.27 |
Premera BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $5,248.07 | Professional | None | $2,630.27 | $3,801.89 | $5,248.07 |
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 $2,238.72 Median $3,235.94 Typical High $6,025.60 | Professional | None | $2,238.72 | $3,235.94 | $6,025.60 |
Wellpoint Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,715.35 | Professional | None | $2,454.71 | $2,511.89 | $3,715.35 |
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 $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | 53 · Discontinued | $467.74 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,698.24 |
Where Washington sits
The same service costs 5.9 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· 35th of 51
$2,188
AK $7,762TX $1,318
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.