How much rates vary
Facilitymedian $3,236 · 10th to 90th $759 to $17,378Professionalmedian $1,096 · 10th to 90th $138 to $2,239
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 $1,412.54 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,412.54 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,412.54 | $1,412.54 | $1,513.56 |
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 $1,548.82 Median $8,128.31 Typical High $8,912.51 | Professional | None | $1,548.82 | $8,128.31 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,754.23 Typical High $5,128.61 | Facility | None | $630.96 | $2,754.23 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,348.96 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,258.93 | $2,570.40 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $1,000.00 Typical High $2,041.74 | Professional | None | $128.82 | $1,000.00 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $2,238.72 | Facility | None | $1,621.81 | $2,089.30 | $2,238.72 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $3,235.94 Typical High $7,079.46 | Facility | None | $1,380.38 | $3,235.94 | $7,079.46 |
Premera BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $1,548.82 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,548.82 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $13,182.57 | Facility | None | $2,089.30 | $3,548.13 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,584.89 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,380.38 | $2,089.30 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
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· 45th of 51
$1,122
AK $4,571UT $741
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.