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 $416.87 Median $9,549.93 Typical High $21,877.62 | Facility | None | $416.87 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $416.87 | Professional | None | $275.42 | $338.84 | $416.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $4,677.35 Typical High $9,332.54 | Facility | None | $154.88 | $4,677.35 | $9,332.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $295.12 Median $562.34 Typical High $2,570.40 | Professional | None | $295.12 | $562.34 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $1,000.00 | Facility | None | $245.47 | $478.63 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $602.56 | Professional | None | $269.15 | $398.11 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $724.44 | Professional | None | $218.78 | $380.19 | $724.44 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $213.80 Typical High $537.03 | Professional | None | $45.71 | $213.80 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $630.96 | Facility | None | $371.54 | $616.60 | $630.96 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $389.05 | Facility | None | $186.21 | $223.87 | $389.05 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None | $309.03 | $309.03 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $8,912.51 | Facility | None | $3,630.78 | $4,897.79 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $630.96 | Professional | None | $295.12 | $416.87 | $630.96 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $6,606.93 | Facility | None | $1,513.56 | $2,570.40 | $6,606.93 |
United Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $724.44 | Professional | None | $281.84 | $416.87 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $436.52 | Professional | None | $208.93 | $316.23 | $436.52 |
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 78 · Unplanned return to OR Typical Low $194.98 Median $218.78 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $194.98 | $218.78 | $288.40 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,495.41 Median $7,413.10 Typical High $13,489.63 | Facility | 50 · Both sides | $5,495.41 | $7,413.10 | $13,489.63 |
Where Washington sits
The same service costs 5.0 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· 46th of 51
$263
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.