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 $2,137.96 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,137.96 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,238.72 | Professional | None | $2,137.96 | $2,137.96 | $2,238.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $10,471.29 | Facility | None | $1,202.26 | $1,202.26 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,344.23 Median $15,488.17 Typical High $21,379.62 | Professional | None | $2,344.23 | $15,488.17 | $21,379.62 |
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 $2,041.74 Median $2,238.72 Typical High $4,677.35 | Professional | None | $2,041.74 | $2,238.72 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,290.87 | $3,467.37 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $1,202.26 Typical High $3,235.94 | Professional | None | $147.91 | $1,202.26 | $3,235.94 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $3,388.44 | Facility | None | $1,995.26 | $3,235.94 | $3,388.44 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Premera BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $4,786.30 | Professional | None | $2,344.23 | $3,311.31 | $4,786.30 |
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 $2,137.96 Median $2,884.03 Typical High $5,248.07 | Professional | None | $2,137.96 | $2,884.03 | $5,248.07 |
Wellpoint Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $3,162.28 | Professional | None | $2,137.96 | $2,187.76 | $3,162.28 |
1 more rate 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 $1,513.56 Median $1,513.56 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,548.82 |
Where Washington sits
The same service costs 5.6 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
$1,380
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.