How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,479 to $44,668Professionalmedian $1,096 · 10th to 90th $79 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 $1,445.44 Median $11,220.18 Typical High $24,547.09 | Facility | None | $1,445.44 | $11,220.18 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,071.52 | $1,445.44 | $1,445.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $724.44 Median $29,512.09 Typical High $60,255.96 | Facility | None | $724.44 | $29,512.09 | $60,255.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $8,511.38 Typical High $9,120.11 | Professional | None | $1,479.11 | $8,511.38 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $18,620.87 Median $19,498.45 Typical High $37,153.52 | Facility | None | $18,620.87 | $19,498.45 | $37,153.52 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,445.44 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,445.44 | $2,187.76 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $954.99 Typical High $2,041.74 | Professional | None | $64.57 | $954.99 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,137.96 | Facility | None | $1,548.82 | $2,041.74 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,877.62 Median $32,359.37 Typical High $60,255.96 | Facility | None | $21,877.62 | $32,359.37 | $60,255.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,479.11 | $2,089.30 | $3,019.95 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $44,668.36 | Facility | None | $2,691.53 | $4,677.35 | $44,668.36 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,348.96 | $1,819.70 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,949.84 | Professional | None | $1,288.25 | $1,348.96 | $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 $676.08 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $676.08 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $269.15 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,023.29 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $134.90 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $954.99 | $1,023.29 | $1,023.29 |
Where Washington sits
The same service costs 8.9 times more in Oklahoma 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· 46th of 51
$1,148
OK $7,762TX $871
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.