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 $5,128.61 Typical High $20,892.96 | Facility | None | $524.81 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $630.96 Typical High $1,288.25 | Professional | None | $190.55 | $630.96 | $1,288.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $5,754.40 Typical High $11,748.98 | Facility | None | $107.15 | $5,754.40 | $11,748.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $1,548.82 Typical High $6,456.54 | Professional | None | $245.47 | $1,548.82 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $1,659.59 | Facility | None | $512.86 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $524.81 Typical High $1,949.84 | Professional | None | $194.98 | $524.81 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $977.24 Typical High $1,862.09 | Professional | None | $302.00 | $977.24 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $1,258.93 Typical High $2,137.96 | Professional | None | $213.80 | $1,258.93 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $1,548.82 | Facility | None | $851.14 | $1,380.38 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $724.44 Typical High $1,230.27 | Facility | None | $302.00 | $724.44 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,023.29 | Professional | None | $218.78 | $218.78 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,981.07 Median $5,888.44 Typical High $11,220.18 | Facility | None | $3,981.07 | $5,888.44 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $218.78 Median $758.58 Typical High $1,819.70 | Professional | None | $218.78 | $758.58 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $8,128.31 | Facility | None | $1,202.26 | $1,949.84 | $8,128.31 |
United Setting Professional Modifier None Typical Low $218.78 Median $691.83 Typical High $1,995.26 | Professional | None | $218.78 | $691.83 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $1,096.48 | Professional | None | $194.98 | $295.12 | $1,096.48 |
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 $154.88 Median $478.63 Typical High $831.76 | Professional | 54 · Surgery only | $154.88 | $478.63 | $831.76 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,888.44 Median $8,912.51 Typical High $16,982.44 | Facility | 50 · Both sides | $5,888.44 | $8,912.51 | $16,982.44 |
Where Washington sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 7th of 51
$1,096
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.