How much rates vary
Facilitymedian $2,754 · 10th to 90th $832 to $12,303Professionalmedian $851 · 10th to 90th $132 to $2,399
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 $1,288.25 Median $5,128.61 Typical High $21,877.62 | Facility | None | $1,288.25 | $5,128.61 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,348.96 | Professional | None | $1,288.25 | $1,288.25 | $1,348.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $776.25 Median $8,709.64 Typical High $17,782.79 | Facility | None | $776.25 | $8,709.64 | $17,782.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,412.54 Median $7,762.47 Typical High $9,332.54 | Professional | None | $1,412.54 | $7,762.47 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $3,715.35 | Facility | None | $707.95 | $1,995.26 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $2,951.21 | Professional | None | $1,230.27 | $1,348.96 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,380.38 | $2,344.23 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $691.83 Typical High $2,290.87 | Professional | None | $123.03 | $691.83 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,137.96 | Facility | None | $1,202.26 | $1,862.09 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,778.28 | Facility | None | $1,122.02 | $1,412.54 | $1,778.28 |
Premera BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,332.54 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,412.54 | $2,089.30 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $12,882.50 | Facility | None | $2,089.30 | $3,548.13 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,071.52 | $1,737.80 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,445.44 | $2,137.96 |
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 $645.65 Median $645.65 Typical High $676.08 | Professional | 52 · Reduced service | $645.65 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 53 · Discontinued | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $134.90 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $933.25 |
Where Washington sits
The same service costs 6.6 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· 48th of 51
$891
AK $4,266TX $646
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.