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 $1,905.46 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,905.46 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,995.26 | Professional | None | $1,905.46 | $1,905.46 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $9,332.54 | Facility | None | $1,071.52 | $1,071.52 | $9,332.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $14,454.40 | Professional | None | $2,089.30 | $3,890.45 | $14,454.40 |
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 $1,819.70 Median $2,041.74 Typical High $4,265.80 | Professional | None | $1,819.70 | $2,041.74 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $4,073.80 | Professional | None | $2,041.74 | $3,090.30 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $1,096.48 Typical High $2,884.03 | Professional | None | $117.49 | $1,096.48 | $2,884.03 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $3,090.30 | Facility | None | $2,187.76 | $2,884.03 | $3,090.30 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Facility | None | $2,041.74 | $2,041.74 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,951.21 | $4,265.80 |
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 $1,905.46 Median $2,570.40 Typical High $4,677.35 | Professional | None | $1,905.46 | $2,570.40 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,905.46 | $1,995.26 | $2,884.03 |
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 $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,380.38 |
Where Washington sits
The same service costs 5.9 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· 50th of 51
$1,230
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.