How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $4,467Professionalmedian $1,738 · 10th to 90th $257 to $5,012
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 $2,754.23 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,754.23 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $2,884.03 | Professional | None | $1,862.09 | $2,754.23 | $2,884.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $13,489.63 | Facility | None | $1,621.81 | $1,621.81 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,090.30 Median $16,982.44 Typical High $19,498.45 | Professional | None | $3,090.30 | $16,982.44 | $19,498.45 |
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 $2,691.53 Median $2,951.21 Typical High $6,309.57 | Professional | None | $2,691.53 | $2,951.21 | $6,309.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $5,754.40 | Professional | None | $2,818.38 | $4,570.88 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $1,380.38 Typical High $4,677.35 | Professional | None | $251.19 | $1,380.38 | $4,677.35 |
Pacific Source Setting Facility Modifier None Typical Low $3,235.94 Median $4,265.80 Typical High $4,466.84 | Facility | None | $3,235.94 | $4,265.80 | $4,466.84 |
Premera BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,090.30 | Facility | None | $3,019.95 | $3,019.95 | $3,090.30 |
Premera BCBS Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $4,466.84 Typical High $6,165.95 | Professional | None | $3,090.30 | $4,466.84 | $6,165.95 |
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 $2,754.23 Median $3,801.89 Typical High $7,079.46 | Professional | None | $2,754.23 | $3,801.89 | $7,079.46 |
Wellpoint Setting Professional Modifier None Typical Low $2,884.03 Median $2,951.21 Typical High $4,365.16 | Professional | None | $2,884.03 | $2,951.21 | $4,365.16 |
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 $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | 53 · Discontinued | $549.54 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $1,995.26 |
Where Washington sits
The same service costs 14.5 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 $9,120TX $631
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.