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 $100.00 Median $5,128.61 Typical High $20,892.96 | Facility | None | $100.00 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $100.00 | Professional | None | $47.86 | $79.43 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.12 Median $691.83 Typical High $1,412.54 | Facility | None | $25.12 | $691.83 | $1,412.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $57.54 Median $154.88 Typical High $645.65 | Professional | None | $57.54 | $154.88 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $707.95 | Facility | None | $53.70 | $75.86 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $204.17 | Professional | None | $46.77 | $74.13 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $89.13 Typical High $165.96 | Professional | None | $54.95 | $89.13 | $165.96 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $112.20 Typical High $194.98 | Professional | None | $19.50 | $112.20 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $144.54 | Facility | None | $77.62 | $131.83 | $144.54 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $91.20 | Facility | None | $32.36 | $48.98 | $91.20 |
Premera BCBS Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $102.33 | Professional | None | $52.48 | $52.48 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,380.38 | Facility | None | $478.63 | $724.44 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $102.33 Typical High $177.83 | Professional | None | $52.48 | $102.33 | $177.83 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,023.29 | Facility | None | $134.90 | $346.74 | $1,023.29 |
United Setting Professional Modifier None Typical Low $51.29 Median $91.20 Typical High $190.55 | Professional | None | $51.29 | $91.20 | $190.55 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $107.15 | Professional | None | $45.71 | $67.61 | $107.15 |
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 $36.31 Median $51.29 Typical High $75.86 | Professional | 54 · Surgery only | $36.31 | $51.29 | $75.86 |
Where Washington sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 9th of 51
$102
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.