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 $562.34 Median $9,120.11 Typical High $21,877.62 | Facility | None | $562.34 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $616.60 | Professional | None | $416.87 | $562.34 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $616.60 | Professional | None | $346.74 | $346.74 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $16,218.10 Typical High $33,113.11 | Facility | None | $288.40 | $16,218.10 | $33,113.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $3,548.13 | Professional | None | $660.69 | $977.24 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $1,023.29 | Professional | None | $457.09 | $489.78 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $870.96 Typical High $5,754.40 | Professional | None | $389.05 | $870.96 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $457.09 Typical High $870.96 | Professional | None | $63.10 | $457.09 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $812.83 | Facility | None | $457.09 | $794.33 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Premera BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $660.69 Median $660.69 Typical High $954.99 | Professional | None | $660.69 | $660.69 | $954.99 |
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 $478.63 Median $588.84 Typical High $1,096.48 | Professional | None | $478.63 | $588.84 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $794.33 | Professional | None | $380.19 | $512.86 | $794.33 |
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 $323.59 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $323.59 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $302.00 | $398.11 | $398.11 |
Where Washington sits
The same service costs 4.4 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· 31st of 51
$490
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.