How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $3,311Professionalmedian $1,175 · 10th to 90th $141 to $3,388
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 $2,187.76 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,187.76 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,398.83 | Professional | None | $2,187.76 | $2,187.76 | $2,398.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,071.52 Typical High $10,232.93 | Facility | None | $30.20 | $1,071.52 | $10,232.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $11,748.98 Typical High $12,302.69 | Professional | None | $2,238.72 | $11,748.98 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $4,677.35 | Professional | None | $1,949.84 | $2,137.96 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $4,265.80 | Professional | None | $2,089.30 | $3,311.31 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $977.24 Typical High $3,235.94 | Professional | None | $138.04 | $977.24 | $3,235.94 |
Pacific Source Setting Facility Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $3,311.31 | Facility | None | $2,344.23 | $3,162.28 | $3,311.31 |
Premera BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,238.72 | Facility | None | $2,187.76 | $2,187.76 | $2,238.72 |
Premera BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $4,466.84 | Professional | None | $2,238.72 | $3,235.94 | $4,466.84 |
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 $1,995.26 Median $2,754.23 Typical High $5,011.87 | Professional | None | $1,995.26 | $2,754.23 | $5,011.87 |
Wellpoint Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,041.74 | $3,019.95 |
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 $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | 53 · Discontinued | $436.52 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,659.59 |
Where Washington sits
The same service costs 7.8 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
$1,175
AK $6,607TX $851
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.