How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $436.52 Median $7,943.28 Typical High $27,542.29 | Facility | None | $436.52 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $436.52 Typical High $436.52 | Professional | None | $181.97 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $91.20 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $36.31 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $138.04 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $27.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $18.20 | $43.65 | $43.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $1,348.96 | Facility | None | $165.96 | $165.96 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,905.46 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $537.03 | Professional | None | $239.88 | $436.52 | $537.03 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $426.58 | Facility | None | $257.04 | $380.19 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $1,122.02 | Facility | None | $489.78 | $954.99 | $1,122.02 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Wellpoint Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Where Washington sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 8th of 51
$490
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.