How much rates vary
Facilitymedian $562,341 · 10th to 90th $436,516 to $1,096,478Professionalmedian $616,595 · 10th to 90th $562,341 to $1,995,262
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 $616,595.00 Median $616,595.00 Typical High $616,595.00 | Facility | None | $616,595.00 | $616,595.00 | $616,595.00 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $616,595.00 Typical High $616,595.00 | Professional | None | $562,341.33 | $616,595.00 | $616,595.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $309,029.54 Typical High $309,029.54 | Professional | 52 · Reduced service | $281,838.29 | $309,029.54 | $309,029.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $123,026.88 Typical High $123,026.88 | Professional | 53 · Discontinued | $112,201.85 | $123,026.88 | $123,026.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $93,325.43 Typical High $93,325.43 | Professional | 55 · Aftercare only | $85,113.80 | $93,325.43 | $93,325.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $61,659.50 Typical High $61,659.50 | Professional | 56 · Pre-op care only | $56,234.13 | $61,659.50 | $61,659.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,995,262.31 Median $1,995,262.31 Typical High $1,995,262.31 | Professional | None | $1,995,262.31 | $1,995,262.31 | $1,995,262.31 |
Cigna Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $676,082.98 | Professional | None | $537,031.80 | $537,031.80 | $676,082.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549,540.87 Median $676,082.98 Typical High $758,577.58 | Professional | None | $549,540.87 | $676,082.98 | $758,577.58 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | None | $30.20 | $70.79 | $79.43 |
Premera BCBS Setting Facility Modifier None Typical Low $416,869.38 Median $501,187.23 Typical High $1,258,925.41 | Facility | None | $416,869.38 | $501,187.23 | $1,258,925.41 |
Premera BCBS Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $562,341.33 Typical High $645,654.23 | Professional | None | $537,031.80 | $562,341.33 | $645,654.23 |
Wellpoint Setting Professional Modifier None Typical Low $537,031.80 Median $562,341.33 Typical High $724,435.96 | Professional | None | $537,031.80 | $562,341.33 | $724,435.96 |
Where Washington sits
Rates are fairly even across states for this service. 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· 11th of 51
$616,595
MS $676,083NJ $537,032
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.