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 $524.81 Median $9,120.11 Typical High $28,840.32 | Facility | None | $524.81 | $9,120.11 | $28,840.32 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $575.44 | Professional | None | $380.19 | $524.81 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $275.42 Median $16,218.10 Typical High $33,113.11 | Facility | None | $275.42 | $16,218.10 | $33,113.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $3,311.31 | Professional | None | $616.60 | $912.01 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $954.99 | Professional | None | $436.52 | $467.74 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $812.83 Typical High $5,754.40 | Professional | None | $371.54 | $812.83 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $436.52 Typical High $812.83 | Professional | None | $63.10 | $436.52 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $758.58 | Facility | None | $457.09 | $741.31 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Premera BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,220.18 Median $16,982.44 Typical High $31,622.78 | Facility | None | $11,220.18 | $16,982.44 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $891.25 | Professional | None | $616.60 | $616.60 | $891.25 |
United Setting Facility Modifier None Typical Low $11,748.98 Median $22,908.68 Typical High $36,307.81 | Facility | None | $11,748.98 | $22,908.68 | $36,307.81 |
United Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $1,047.13 | Professional | None | $457.09 | $549.54 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $741.31 | Professional | None | $363.08 | $489.78 | $741.31 |
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 $309.03 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $309.03 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $288.40 | $371.54 | $371.54 |
Where Washington sits
The same service costs 4.2 times more in Wyoming 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· 28th of 51
$468
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.