How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $2,455Professionalmedian $1,445 · 10th to 90th $234 to $2,884
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 $1,479.11 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,479.11 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,479.11 | $1,862.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $912.01 Typical High $7,413.10 | Facility | None | $30.20 | $912.01 | $7,413.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $9,120.11 Typical High $10,964.78 | Professional | None | $1,659.59 | $9,120.11 | $10,964.78 |
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 $1,412.54 Median $1,584.89 Typical High $3,467.37 | Professional | None | $1,412.54 | $1,584.89 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $3,019.95 | Professional | None | $1,258.93 | $2,454.71 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $1,380.38 Typical High $2,818.38 | Professional | None | $229.09 | $1,380.38 | $2,818.38 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $2,454.71 | Facility | None | $1,380.38 | $2,137.96 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,621.81 | $1,621.81 | $1,659.59 |
Premera BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,659.59 | $2,398.83 | $3,311.31 |
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 $1,258.93 Median $1,949.84 Typical High $3,801.89 | Professional | None | $1,258.93 | $1,949.84 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,621.81 | $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 $741.31 Median $741.31 Typical High $776.25 | Professional | 52 · Reduced service | $741.31 | $741.31 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 53 · Discontinued | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,096.48 |
Where Washington sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 29th of 51
$1,445
AK $5,012UT $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.