How much rates vary
Facilitymedian $3,467 · 10th to 90th $891 to $24,547Professionalmedian $1,096 · 10th to 90th $162 to $2,630
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 $1,778.28 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,778.28 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Professional | None | $1,778.28 | $1,778.28 | $1,905.46 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $25,703.96 | Facility | None | $691.83 | $1,513.56 | $25,703.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $11,220.18 | Professional | None | $1,949.84 | $2,884.03 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,248.07 Typical High $9,772.37 | Facility | None | $707.95 | $5,248.07 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,445.44 | $1,698.24 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $3,890.45 Typical High $7,943.28 | Professional | None | $1,621.81 | $3,890.45 | $7,943.28 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $954.99 Typical High $2,454.71 | Professional | None | $158.49 | $954.99 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,019.95 | Facility | None | $2,041.74 | $2,754.23 | $3,019.95 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $2,818.38 Typical High $5,370.32 | Facility | None | $1,380.38 | $2,818.38 | $5,370.32 |
Premera BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $1,949.84 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,949.84 | $1,949.84 | $3,235.94 |
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 $1,659.59 Median $2,041.74 Typical High $3,981.07 | Professional | None | $1,659.59 | $2,041.74 | $3,981.07 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,737.80 | $2,630.27 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Where Washington sits
The same service costs 24.5 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· 49th of 51
$1,096
AK $5,754TX $234
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.