How much rates vary
Facilitymedian $1,023 · 10th to 90th $589 to $4,266Professionalmedian $1,698 · 10th to 90th $257 to $4,898
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 $2,691.53 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,691.53 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,818.38 | Professional | None | $2,691.53 | $2,691.53 | $2,818.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,584.89 Typical High $13,182.57 | Facility | None | $30.20 | $1,584.89 | $13,182.57 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,019.95 Median $15,135.61 Typical High $19,054.61 | Professional | None | $3,019.95 | $15,135.61 | $19,054.61 |
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 $2,630.27 Median $2,884.03 Typical High $6,165.95 | Professional | None | $2,630.27 | $2,884.03 | $6,165.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,623.41 | Professional | None | $2,754.23 | $4,466.84 | $5,623.41 |
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 $2,511.89 Median $4,168.69 Typical High $4,365.16 | Facility | None | $2,511.89 | $4,168.69 | $4,365.16 |
Premera BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,019.95 | Facility | None | $2,951.21 | $2,951.21 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $6,025.60 | Professional | None | $3,019.95 | $4,365.16 | $6,025.60 |
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 $2,630.27 Median $3,715.35 Typical High $6,918.31 | Professional | None | $2,630.27 | $3,715.35 | $6,918.31 |
Wellpoint Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $4,265.80 | Professional | None | $2,818.38 | $2,951.21 | $4,265.80 |
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 $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | 53 · Discontinued | $537.03 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,995.26 | $1,995.26 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,862.09 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $1,949.84 |
Where Washington sits
The same service costs 7.2 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
$1,698
AK $8,913TX $1,230
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.