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 $2,511.89 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,511.89 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,630.27 | Professional | None | $2,511.89 | $2,511.89 | $2,630.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $12,302.69 | Facility | None | $1,412.54 | $1,412.54 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $19,498.45 | Professional | None | $2,754.23 | $5,128.61 | $19,498.45 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $5,623.41 | Professional | None | $2,398.83 | $2,691.53 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $5,495.41 | Professional | None | $2,884.03 | $4,073.80 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $2,137.96 Typical High $3,981.07 | Professional | None | $234.42 | $2,137.96 | $3,981.07 |
Pacific Source Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $4,168.69 | Facility | None | $2,344.23 | $3,801.89 | $4,168.69 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $5,623.41 | Professional | None | $2,754.23 | $3,890.45 | $5,623.41 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $6,165.95 | Professional | None | $2,511.89 | $3,388.44 | $6,165.95 |
Wellpoint Setting Professional Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $3,715.35 | Professional | None | $2,511.89 | $2,630.27 | $3,715.35 |
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 $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,819.70 |
Where Washington sits
The same service costs 5.5 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· 36th of 51
$2,344
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.