How much rates vary
Facilitymedian $512,861 · 10th to 90th $436,516 to $1,096,478Professionalmedian $562,341 · 10th to 90th $512,861 to $1,000,000
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 $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $562,341.33 Typical High $562,341.33 | Professional | None | $512,861.38 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $281,838.29 Typical High $281,838.29 | Professional | 52 · Reduced service | $257,039.58 | $281,838.29 | $281,838.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $112,201.85 Typical High $112,201.85 | Professional | 53 · Discontinued | $102,329.30 | $112,201.85 | $112,201.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $85,113.80 Typical High $85,113.80 | Professional | 55 · Aftercare only | $75,857.76 | $85,113.80 | $85,113.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $56,234.13 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $51,286.14 | $56,234.13 | $56,234.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000,000.00 Median $1,000,000.00 Typical High $1,000,000.00 | Professional | None | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $616,595.00 | Professional | None | $489,778.82 | $489,778.82 | $616,595.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501,187.23 Median $616,595.00 Typical High $691,830.97 | Professional | None | $501,187.23 | $616,595.00 | $691,830.97 |
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 $489,778.82 Typical High $1,258,925.41 | Facility | None | $416,869.38 | $489,778.82 | $1,258,925.41 |
Premera BCBS Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $512,861.38 Typical High $588,843.66 | Professional | None | $489,778.82 | $512,861.38 | $588,843.66 |
Wellpoint Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $660,693.45 | Professional | None | $512,861.38 | $512,861.38 | $660,693.45 |
Where Washington sits
The same service costs 2.0 times more in Texas than in New Jersey. 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
$562,341
TX $1,000,000NJ $489,779
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.