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 $2,884.03 Median $13,803.84 Typical High $23,988.33 | Facility | None | $2,884.03 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,698.24 Median $44,668.36 Typical High $95,499.26 | Facility | None | $1,698.24 | $44,668.36 | $95,499.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,162.28 Median $15,848.93 Typical High $20,417.38 | Professional | None | $3,162.28 | $15,848.93 | $20,417.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $14,791.08 Typical High $27,542.29 | Facility | None | $707.95 | $14,791.08 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $4,897.79 | Professional | None | $2,344.23 | $2,818.38 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $5,888.44 Typical High $22,387.21 | Professional | None | $2,454.71 | $5,888.44 | $22,387.21 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $1,513.56 Typical High $4,073.80 | Professional | None | $245.47 | $1,513.56 | $4,073.80 |
Pacific Source Setting Facility Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $4,677.35 | Facility | None | $2,570.40 | $4,365.16 | $4,677.35 |
Premera BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,235.94 | Facility | None | $3,090.30 | $3,090.30 | $3,235.94 |
Premera BCBS Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Regence BlueShield Setting Facility Modifier None Typical Low $33,113.11 Median $48,977.88 Typical High $91,201.08 | Facility | None | $33,113.11 | $48,977.88 | $91,201.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $5,248.07 | Professional | None | $3,162.28 | $3,162.28 | $5,248.07 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,413.10 Typical High $69,183.10 | Facility | None | $3,801.89 | $7,413.10 | $69,183.10 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $6,456.54 | Professional | None | $2,630.27 | $3,311.31 | $6,456.54 |
Wellpoint Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,187.76 | $2,951.21 | $4,570.88 |
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 54 · Surgery only | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,995.26 | $1,995.26 | $1,995.26 |
Where Washington sits
The same service costs 8.1 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
$1,738
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.