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 $3,019.95 Median $7,943.28 Typical High $27,542.29 | Facility | None | $3,019.95 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,344.23 | $3,019.95 | $3,019.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $13,803.84 | Facility | None | $1,584.89 | $1,584.89 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $19,054.61 | Professional | None | $3,548.13 | $5,370.32 | $19,054.61 |
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 $2,344.23 Median $2,691.53 Typical High $5,370.32 | Professional | None | $2,344.23 | $2,691.53 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,041.74 | $3,388.44 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $1,659.59 Typical High $4,168.69 | Professional | None | $218.78 | $1,659.59 | $4,168.69 |
Pacific Source Setting Facility Modifier None Typical Low $3,019.95 Median $4,265.80 Typical High $4,466.84 | Facility | None | $3,019.95 | $4,265.80 | $4,466.84 |
Premera BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,090.30 | Facility | None | $3,019.95 | $3,019.95 | $3,090.30 |
Premera BCBS Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $5,128.61 | Professional | None | $3,548.13 | $3,548.13 | $5,128.61 |
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 $2,630.27 Median $3,235.94 Typical High $5,888.44 | Professional | None | $2,630.27 | $3,235.94 | $5,888.44 |
Wellpoint Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,041.74 | $2,754.23 | $4,265.80 |
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 $1,778.28 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,778.28 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,137.96 | $2,137.96 |
Where Washington sits
The same service costs 21.9 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· 48th of 51
$1,820
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.