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 $2,951.21 Median $11,220.18 Typical High $21,877.62 | Facility | None | $2,951.21 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,090.30 | Professional | None | $2,951.21 | $2,951.21 | $3,090.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,445.44 Median $4,677.35 Typical High $10,471.29 | Facility | None | $1,445.44 | $4,677.35 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,630.27 Median $12,302.69 Typical High $16,595.87 | Professional | None | $2,630.27 | $12,302.69 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $2,344.23 | Facility | None | $707.95 | $1,380.38 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,570.40 | $4,073.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $2,041.74 Typical High $4,786.30 | Professional | None | $1,023.29 | $2,041.74 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $831.76 Median $2,754.23 Typical High $4,897.79 | Professional | None | $831.76 | $2,754.23 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $4,073.80 | Facility | None | $2,344.23 | $3,388.44 | $4,073.80 |
Premera BCBS Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,737.80 | Facility | None | $588.84 | $912.01 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,090.30 | $4,677.35 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $4,168.69 | Professional | None | $2,630.27 | $2,630.27 | $4,168.69 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $6,309.57 | Facility | None | $371.54 | $691.83 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $5,128.61 | Professional | None | $1,862.09 | $2,818.38 | $5,128.61 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $4,466.84 | Professional | None | $1,995.26 | $2,691.53 | $4,466.84 |
1 more rate 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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $2,187.76 | $2,187.76 | $2,187.76 |
Where Washington sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 17th of 51
$2,692
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.