How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $4,571Professionalmedian $1,778 · 10th to 90th $295 to $5,129
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 $2,818.38 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,818.38 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Professional | None | $2,818.38 | $2,818.38 | $2,951.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,659.59 Typical High $14,125.38 | Facility | None | $30.20 | $1,659.59 | $14,125.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,162.28 Median $16,218.10 Typical High $19,952.62 | Professional | None | $3,162.28 | $16,218.10 | $19,952.62 |
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 $2,754.23 Median $3,019.95 Typical High $6,606.93 | Professional | None | $2,754.23 | $3,019.95 | $6,606.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $5,888.44 | Professional | None | $2,884.03 | $4,677.35 | $5,888.44 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $1,412.54 Typical High $4,897.79 | Professional | None | $288.40 | $1,412.54 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $3,311.31 Median $4,365.16 Typical High $4,677.35 | Facility | None | $3,311.31 | $4,365.16 | $4,677.35 |
Premera BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,235.94 | Facility | None | $3,090.30 | $3,090.30 | $3,235.94 |
Premera BCBS Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,162.28 Median $4,677.35 Typical High $6,309.57 | Professional | None | $3,162.28 | $4,677.35 | $6,309.57 |
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 $2,818.38 Median $3,981.07 Typical High $7,244.36 | Professional | None | $2,818.38 | $3,981.07 | $7,244.36 |
Wellpoint Setting Professional Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,951.21 | $3,090.30 | $4,466.84 |
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 $1,412.54 Median $1,412.54 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 53 · Discontinued | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | 54 · Surgery only | $2,089.30 | $2,089.30 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | 56 · Pre-op care only | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $1,949.84 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,949.84 | $1,949.84 | $2,089.30 |
Where Washington sits
The same service costs 7.6 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
$1,738
AK $9,550TX $1,259
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.