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 $40.74 Median $2,137.96 Typical High $20,417.38 | Facility | None | $40.74 | $2,137.96 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $151.36 Typical High $263.03 | Professional | None | $32.36 | $151.36 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.50 Median $691.83 Typical High $1,412.54 | Facility | None | $19.50 | $691.83 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $46.77 Median $309.03 Typical High $1,122.02 | Professional | None | $46.77 | $309.03 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $97.72 Typical High $389.05 | Professional | None | $37.15 | $97.72 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $181.97 Typical High $354.81 | Professional | None | $44.67 | $181.97 | $354.81 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $346.74 | Professional | None | $107.15 | $213.80 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $316.23 | Facility | None | $218.78 | $263.03 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Premera BCBS Setting Professional Modifier None Typical Low $40.74 Median $186.21 Typical High $186.21 | Professional | None | $40.74 | $186.21 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,348.96 | Facility | None | $478.63 | $707.95 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $95.50 Typical High $323.59 | Professional | None | $46.77 | $95.50 | $323.59 |
United Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,905.46 | Facility | None | $691.83 | $933.25 | $1,905.46 |
United Setting Professional Modifier None Typical Low $38.02 Median $128.82 Typical High $363.08 | Professional | None | $38.02 | $128.82 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $29.51 Median $51.29 Typical High $190.55 | Professional | None | $29.51 | $51.29 | $190.55 |
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 $30.90 Median $91.20 Typical High $165.96 | Professional | 54 · Surgery only | $30.90 | $91.20 | $165.96 |
Where Washington sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 4th of 51
$204
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.