How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $4,677Professionalmedian $2,754 · 10th to 90th $437 to $5,495
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 $2,951.21 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,951.21 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,951.21 | $3,467.37 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,737.80 Typical High $14,454.40 | Facility | None | $30.20 | $1,737.80 | $14,454.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,311.31 Median $16,595.87 Typical High $20,892.96 | Professional | None | $3,311.31 | $16,595.87 | $20,892.96 |
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 $2,884.03 Median $3,162.28 Typical High $6,760.83 | Professional | None | $2,884.03 | $3,162.28 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $6,025.60 | Professional | None | $2,454.71 | $4,786.30 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $2,570.40 Typical High $5,370.32 | Professional | None | $426.58 | $2,570.40 | $5,370.32 |
Pacific Source Setting Facility Modifier None Typical Low $2,951.21 Median $4,265.80 Typical High $4,897.79 | Facility | None | $2,951.21 | $4,265.80 | $4,897.79 |
Premera BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,311.31 | Facility | None | $3,235.94 | $3,235.94 | $3,311.31 |
Premera BCBS Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,311.31 Median $4,786.30 Typical High $6,606.93 | Professional | None | $3,311.31 | $4,786.30 | $6,606.93 |
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 $2,884.03 Median $4,073.80 Typical High $7,585.78 | Professional | None | $2,884.03 | $4,073.80 | $7,585.78 |
Wellpoint Setting Professional Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $4,677.35 | Professional | None | $3,090.30 | $3,235.94 | $4,677.35 |
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 $1,479.11 Median $1,479.11 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $616.60 | Professional | 53 · Discontinued | $588.84 | $588.84 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,187.76 Typical High $2,290.87 | Professional | 54 · Surgery only | $2,187.76 | $2,187.76 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $467.74 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,041.74 | $2,137.96 |
Where Washington sits
The same service costs 6.0 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· 35th of 51
$2,754
AK $9,772TX $1,622
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.