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 $2,818.38 Median $13,803.84 Typical High $23,988.33 | Facility | None | $2,818.38 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,659.59 Median $36,307.81 Typical High $74,131.02 | Facility | None | $1,659.59 | $36,307.81 | $74,131.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,090.30 Median $16,595.87 Typical High $19,952.62 | Professional | None | $3,090.30 | $16,595.87 | $19,952.62 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,011.87 Typical High $9,120.11 | Facility | None | $741.31 | $5,011.87 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $4,786.30 | Professional | None | $2,041.74 | $2,454.71 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $4,677.35 Typical High $7,244.36 | Professional | None | $2,344.23 | $4,677.35 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $1,513.56 Typical High $3,981.07 | Professional | None | $245.47 | $1,513.56 | $3,981.07 |
Pacific Source Setting Facility Modifier None Typical Low $2,884.03 Median $3,981.07 Typical High $4,570.88 | Facility | None | $2,884.03 | $3,981.07 | $4,570.88 |
Premera BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,162.28 | Facility | None | $3,019.95 | $3,019.95 | $3,162.28 |
Premera BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $28,840.32 Median $38,904.51 Typical High $74,131.02 | Facility | None | $28,840.32 | $38,904.51 | $74,131.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $5,128.61 | Professional | None | $3,090.30 | $3,090.30 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $6,309.57 | Professional | None | $2,454.71 | $3,162.28 | $6,309.57 |
Wellpoint Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,466.84 | Professional | None | $2,187.76 | $2,951.21 | $4,466.84 |
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,949.84 | $1,949.84 | $1,949.84 |
Where Washington sits
The same service costs 9.1 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· 48th of 51
$1,778
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.