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 $158.49 Median $5,128.61 Typical High $20,892.96 | Facility | None | $158.49 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $173.78 | Professional | None | $117.49 | $158.49 | $173.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $3,467.37 | Facility | None | $79.43 | $79.43 | $3,467.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $1,174.90 | Professional | None | $190.55 | $281.84 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $2,137.96 | Facility | None | $630.96 | $724.44 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $288.40 | Professional | None | $138.04 | $141.25 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $288.40 | Professional | None | $107.15 | $177.83 | $288.40 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $234.42 | Professional | None | $70.79 | $134.90 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $234.42 | Facility | None | $173.78 | $223.87 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $660.69 Typical High $891.25 | Facility | None | $158.49 | $660.69 | $891.25 |
Premera BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,467.37 | Facility | None | $2,754.23 | $2,754.23 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | None | $190.55 | $190.55 | $269.15 |
United Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $1,698.24 | Facility | None | $549.54 | $812.83 | $1,698.24 |
United Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Professional | None | $138.04 | $169.82 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $208.93 | Professional | None | $102.33 | $138.04 | $208.93 |
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 54 · Surgery only Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $93.33 | $117.49 | $117.49 |
Where Washington sits
The same service costs 4.9 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· 27th of 51
$151
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.