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 $758.58 Median $11,220.18 Typical High $21,877.62 | Facility | None | $758.58 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $831.76 | Professional | None | $575.44 | $758.58 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $27,542.29 Typical High $58,884.37 | Facility | None | $380.19 | $27,542.29 | $58,884.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $912.01 Median $3,890.45 Typical High $4,265.80 | Professional | None | $912.01 | $3,890.45 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $6,760.83 Typical High $12,022.64 | Facility | None | $1,862.09 | $6,760.83 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,737.80 | Professional | None | $588.84 | $1,071.52 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $1,445.44 Typical High $9,549.93 | Professional | None | $630.96 | $1,445.44 | $9,549.93 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $616.60 Typical High $870.96 | Professional | None | $79.43 | $616.60 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $851.14 | Facility | None | $660.69 | $776.25 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $2,398.83 Typical High $3,801.89 | Facility | None | $776.25 | $2,398.83 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $19,952.62 Median $28,840.32 Typical High $57,543.99 | Facility | None | $19,952.62 | $28,840.32 | $57,543.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,288.25 | Professional | None | $912.01 | $912.01 | $1,288.25 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $41,686.94 | Facility | None | $2,089.30 | $3,548.13 | $41,686.94 |
United Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,584.89 | Professional | None | $549.54 | $660.69 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,584.89 | Professional | None | $794.33 | $1,071.52 | $1,584.89 |
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 $426.58 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $426.58 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $398.11 | $537.03 | $537.03 |
Where Washington sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 15th of 51
$912
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.