How much rates vary
Facilitymedian $1,514 · 10th to 90th $759 to $7,413Professionalmedian $1,148 · 10th to 90th $170 to $2,291
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 $1,348.96 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,348.96 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,348.96 | $1,348.96 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $7,413.10 | Facility | None | $602.56 | $1,148.15 | $7,413.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,513.56 Median $7,585.78 Typical High $9,772.37 | Professional | None | $1,513.56 | $7,585.78 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,348.96 Typical High $2,511.89 | Facility | None | $630.96 | $1,348.96 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,230.27 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,513.56 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $1,047.13 Typical High $2,187.76 | Professional | None | $162.18 | $1,047.13 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,862.09 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,621.81 | Facility | None | $724.44 | $1,000.00 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $5,623.41 Typical High $10,715.19 | Facility | None | $3,890.45 | $5,623.41 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,513.56 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $7,585.78 | Facility | None | $1,202.26 | $1,949.84 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,548.82 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,445.44 | $2,187.76 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Where Washington sits
The same service costs 5.9 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· 36th of 51
$1,175
AK $4,467TX $759
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.