How much rates vary
Facilitymedian $955 · 10th to 90th $589 to $2,570Professionalmedian $1,202 · 10th to 90th $186 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 $1,621.81 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,621.81 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,737.80 | Professional | None | $1,621.81 | $1,621.81 | $1,737.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $851.14 Typical High $7,762.47 | Facility | None | $30.20 | $851.14 | $7,762.47 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $11,220.18 | Professional | None | $1,698.24 | $2,570.40 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,691.53 | Professional | None | $1,288.25 | $1,548.82 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,174.90 | $1,949.84 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,096.48 Typical High $2,290.87 | Professional | None | $169.82 | $1,096.48 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $2,511.89 | Facility | None | $1,659.59 | $2,187.76 | $2,511.89 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,659.59 | $1,659.59 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,818.38 | Professional | None | $1,698.24 | $1,698.24 | $2,818.38 |
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 $1,445.44 Median $1,819.70 Typical High $3,467.37 | Professional | None | $1,445.44 | $1,819.70 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,548.82 | $2,344.23 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Where Washington sits
The same service costs 6.5 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· 45th of 51
$1,202
AK $5,012TX $776
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.