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 $478.63 Median $6,165.95 Typical High $20,892.96 | Facility | None | $478.63 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $512.86 | Professional | None | $478.63 | $478.63 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $302.00 Median $870.96 Typical High $13,489.63 | Facility | None | $302.00 | $870.96 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $489.78 Median $2,630.27 Typical High $2,884.03 | Professional | None | $489.78 | $2,630.27 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $4,073.80 | Facility | None | $467.74 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $1,047.13 | Professional | None | $436.52 | $478.63 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $3,630.78 | Professional | None | $537.03 | $912.01 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $467.74 Typical High $912.01 | Professional | None | $63.10 | $467.74 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $707.95 | Facility | None | $416.87 | $691.83 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,659.59 Typical High $2,884.03 | Facility | None | $794.33 | $1,659.59 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $10,232.93 Typical High $19,498.45 | Facility | None | $6,760.83 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,000.00 | Professional | None | $489.78 | $707.95 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $13,803.84 | Facility | None | $1,202.26 | $1,949.84 | $13,803.84 |
United Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $1,122.02 | Professional | None | $446.68 | $602.56 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $707.95 | Professional | None | $457.09 | $478.63 | $707.95 |
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 $363.08 Median $363.08 Typical High $389.05 | Professional | 54 · Surgery only | $363.08 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $363.08 |
Where Washington sits
The same service costs 6.2 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· 34th of 51
$501
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.