How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $3,890Professionalmedian $1,514 · 10th to 90th $245 to $4,467
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 $2,454.71 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,454.71 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,454.71 | $2,570.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,445.44 Typical High $12,022.64 | Facility | None | $30.20 | $1,445.44 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,754.23 Median $16,595.87 Typical High $17,378.01 | Professional | None | $2,754.23 | $16,595.87 | $17,378.01 |
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 $2,398.83 Median $2,630.27 Typical High $5,623.41 | Professional | None | $2,398.83 | $2,630.27 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $5,128.61 | Professional | None | $2,511.89 | $4,073.80 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $1,230.27 Typical High $4,265.80 | Professional | None | $234.42 | $1,230.27 | $4,265.80 |
Pacific Source Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $3,981.07 | Facility | None | $2,884.03 | $3,548.13 | $3,981.07 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,754.23 | Facility | None | $2,691.53 | $2,691.53 | $2,754.23 |
Premera BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $3,981.07 Typical High $5,495.41 | Professional | None | $2,754.23 | $3,981.07 | $5,495.41 |
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 $2,398.83 Median $3,388.44 Typical High $6,309.57 | Professional | None | $2,398.83 | $3,388.44 | $6,309.57 |
Wellpoint Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,570.40 | $2,691.53 | $3,890.45 |
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 $1,230.27 Median $1,230.27 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | 53 · Discontinued | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,778.28 |
Where Washington sits
The same service costs 7.8 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
$1,514
AK $8,128TX $1,047
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.