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 $457.09 Median $6,165.95 Typical High $20,892.96 | Facility | None | $457.09 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $501.19 | Professional | None | $354.81 | $457.09 | $501.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $4,897.79 Typical High $10,000.00 | Facility | None | $251.19 | $4,897.79 | $10,000.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $537.03 Median $2,398.83 Typical High $2,951.21 | Professional | None | $537.03 | $2,398.83 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,513.56 Typical High $2,691.53 | Facility | None | $467.74 | $1,513.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $812.83 | Professional | None | $346.74 | $389.05 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $707.95 Typical High $2,137.96 | Professional | None | $316.23 | $707.95 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $758.58 | Professional | None | $229.09 | $426.58 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $676.08 | Facility | None | $457.09 | $630.96 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $1,047.13 Typical High $1,698.24 | Facility | None | $208.93 | $1,047.13 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $10,000.00 | Facility | None | $3,548.13 | $5,370.32 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $776.25 | Professional | None | $537.03 | $537.03 | $776.25 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $8,128.31 | Facility | None | $588.84 | $977.24 | $8,128.31 |
United Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $870.96 | Professional | None | $371.54 | $467.74 | $870.96 |
Wellpoint Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $707.95 | Professional | None | $338.84 | $457.09 | $707.95 |
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 $245.47 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $245.47 | $323.59 | $323.59 |
Where Washington sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 22nd of 51
$447
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.