How much rates vary
Facilitymedian $1,380 · 10th to 90th $589 to $3,981Professionalmedian $1,950 · 10th to 90th $263 to $3,890
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 $2,290.87 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,290.87 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,380.38 Typical High $11,481.54 | Facility | None | $30.20 | $1,380.38 | $11,481.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,570.40 Median $13,182.57 Typical High $16,595.87 | Professional | None | $2,570.40 | $13,182.57 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,949.84 Typical High $5,370.32 | Facility | None | $707.95 | $1,949.84 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $3,981.07 | Professional | None | $1,862.09 | $2,238.72 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $4,570.88 | Professional | None | $1,737.80 | $3,019.95 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $1,737.80 Typical High $3,630.78 | Professional | None | $251.19 | $1,737.80 | $3,630.78 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $3,715.35 | Facility | None | $2,187.76 | $3,548.13 | $3,715.35 |
Premera BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,630.27 | Facility | None | $2,511.89 | $2,511.89 | $2,630.27 |
Premera BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $4,265.80 | Professional | None | $2,570.40 | $2,570.40 | $4,265.80 |
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 $2,137.96 Median $2,630.27 Typical High $5,248.07 | Professional | None | $2,137.96 | $2,630.27 | $5,248.07 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,398.83 | $3,715.35 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,584.89 |
Where Washington sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 38th of 51
$1,950
AK $7,762UT $1,318
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.