How much rates vary
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 $1,548.82 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,548.82 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,548.82 | $1,659.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $7,585.78 | Facility | None | $891.25 | $891.25 | $7,585.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,698.24 Median $8,709.64 Typical High $10,232.93 | Professional | None | $1,698.24 | $8,709.64 | $10,232.93 |
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 $1,412.54 Median $1,584.89 Typical High $3,467.37 | Professional | None | $1,412.54 | $1,584.89 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $3,162.28 | Professional | None | $1,513.56 | $2,511.89 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $758.58 Typical High $2,454.71 | Professional | None | $141.25 | $758.58 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $2,454.71 | Facility | None | $1,659.59 | $2,238.72 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,659.59 | $1,659.59 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,698.24 | $2,398.83 | $3,388.44 |
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 $1,445.44 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,445.44 | $2,089.30 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,659.59 | $2,398.83 |
2 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 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,174.90 |
Where Washington sits
The same service costs 6.8 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
$891
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.