How much rates vary
Facilitymedian $3,890 · 10th to 90th $759 to $24,547Professionalmedian $1,047 · 10th to 90th $138 to $2,138
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 $1,318.26 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,318.26 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,318.26 | $1,412.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $25,703.96 | Facility | None | $602.56 | $1,148.15 | $25,703.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,445.44 Median $7,585.78 Typical High $8,317.64 | Professional | None | $1,445.44 | $7,585.78 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $8,317.64 Typical High $15,848.93 | Facility | None | $630.96 | $8,317.64 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,258.93 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $2,884.03 Typical High $12,589.25 | Professional | None | $1,202.26 | $2,884.03 | $12,589.25 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $933.25 Typical High $1,949.84 | Professional | None | $128.82 | $933.25 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,230.27 | $1,995.26 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $3,715.35 Typical High $7,585.78 | Facility | None | $1,380.38 | $3,715.35 | $7,585.78 |
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 $12,882.50 Median $19,498.45 Typical High $37,153.52 | Facility | None | $12,882.50 | $19,498.45 | $37,153.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,445.44 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $33,884.42 | Facility | None | $2,089.30 | $3,548.13 | $33,884.42 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,479.11 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,949.84 | Professional | None | $954.99 | $1,288.25 | $1,949.84 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
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 6.2 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· 44th of 51
$1,072
AK $4,266UT $692
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.