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 $208.93 Median $7,762.47 Typical High $20,892.96 | Facility | None | $208.93 | $7,762.47 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $1,412.54 Typical High $2,818.38 | Professional | None | $169.82 | $1,412.54 | $2,818.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $19,054.61 Typical High $39,810.72 | Facility | None | $102.33 | $19,054.61 | $39,810.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $3,388.44 Typical High $13,803.84 | Professional | None | $251.19 | $3,388.44 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,168.69 Typical High $7,585.78 | Facility | None | $707.95 | $4,168.69 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $537.03 Typical High $4,677.35 | Professional | None | $186.21 | $537.03 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $3,467.37 Typical High $6,025.60 | Professional | None | $295.12 | $3,467.37 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $2,630.27 Typical High $4,570.88 | Professional | None | $467.74 | $2,630.27 | $4,570.88 |
Pacific Source Setting Facility Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $3,890.45 | Facility | None | $2,570.40 | $3,090.30 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $5,128.61 | Facility | None | $1,288.25 | $2,187.76 | $5,128.61 |
Premera BCBS Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $2,238.72 | Professional | None | $213.80 | $213.80 | $2,238.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,182.57 Median $19,952.62 Typical High $38,018.94 | Facility | None | $13,182.57 | $19,952.62 | $38,018.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $1,862.09 Typical High $4,168.69 | Professional | None | $213.80 | $1,862.09 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $27,542.29 | Facility | None | $1,548.82 | $2,691.53 | $27,542.29 |
United Setting Professional Modifier None Typical Low $213.80 Median $1,621.81 Typical High $4,677.35 | Professional | None | $213.80 | $1,621.81 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $2,344.23 | Professional | None | $181.97 | $275.42 | $2,344.23 |
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 $158.49 Median $1,258.93 Typical High $2,137.96 | Professional | 54 · Surgery only | $158.49 | $1,258.93 | $2,137.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $19,952.62 Median $30,199.52 Typical High $56,234.13 | Facility | 50 · Both sides | $19,952.62 | $30,199.52 | $56,234.13 |
Where Washington sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 6th of 51
$2,399
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.