How much rates vary
Facilitymedian $3,467 · 10th to 90th $891 to $24,547Professionalmedian $1,047 · 10th to 90th $135 to $2,512
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 $1,698.24 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,698.24 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Professional | None | $1,698.24 | $1,698.24 | $1,819.70 |
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 $1,862.09 Median $2,818.38 Typical High $11,220.18 | Professional | None | $1,862.09 | $2,818.38 | $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 $1,380.38 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,380.38 | $1,659.59 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $3,715.35 Typical High $7,943.28 | Professional | None | $1,584.89 | $3,715.35 | $7,943.28 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $912.01 Typical High $2,344.23 | Professional | None | $128.82 | $912.01 | $2,344.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $2,754.23 | Facility | None | $1,995.26 | $2,630.27 | $2,754.23 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $1,862.09 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,862.09 | $1,862.09 | $3,090.30 |
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 $1,584.89 Median $1,949.84 Typical High $3,801.89 | Professional | None | $1,584.89 | $1,949.84 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,659.59 | $2,511.89 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Where Washington sits
The same service costs 7.2 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
$1,072
AK $5,495TX $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.