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 $977.24 Median $6,456.54 Typical High $20,892.96 | Facility | None | $977.24 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,000.00 | Professional | None | $724.44 | $977.24 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $467.74 Median $16,595.87 Typical High $33,884.42 | Facility | None | $467.74 | $16,595.87 | $33,884.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $5,370.32 | Professional | None | $1,071.52 | $4,786.30 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,897.79 Typical High $9,120.11 | Facility | None | $707.95 | $4,897.79 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,659.59 | Professional | None | $676.08 | $794.33 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,445.44 Typical High $7,244.36 | Professional | None | $645.65 | $1,445.44 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $489.78 Typical High $1,230.27 | Professional | None | $85.11 | $489.78 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,348.96 | Facility | None | $891.25 | $1,258.93 | $1,348.96 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $3,311.31 Typical High $6,165.95 | Facility | None | $354.81 | $3,311.31 | $6,165.95 |
Premera BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,071.52 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,737.80 | Professional | None | $758.58 | $912.01 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,348.96 | Professional | None | $630.96 | $851.14 | $1,348.96 |
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 $549.54 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $549.54 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $512.86 | $676.08 | $676.08 |
Where Washington sits
The same service costs 24.0 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· 48th of 51
$550
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.