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 $602.56 Median $6,165.95 Typical High $20,892.96 | Facility | None | $602.56 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $645.65 | Professional | None | $478.63 | $602.56 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $13,803.84 Typical High $28,840.32 | Facility | None | $288.40 | $13,803.84 | $28,840.32 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $4,365.16 | Professional | None | $616.60 | $1,096.48 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,162.28 Typical High $6,025.60 | Facility | None | $707.95 | $3,162.28 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,318.26 | Professional | None | $537.03 | $758.58 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $4,570.88 | Professional | None | $676.08 | $1,174.90 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $1,023.29 | Professional | None | $316.23 | $630.96 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $912.01 | Facility | None | $524.81 | $851.14 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $3,801.89 | Facility | None | $1,047.13 | $2,238.72 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,549.93 Median $14,454.40 Typical High $27,542.29 | Facility | None | $9,549.93 | $14,454.40 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,288.25 | Professional | None | $616.60 | $891.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $19,498.45 | Facility | None | $1,513.56 | $2,570.40 | $19,498.45 |
United Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,445.44 | Professional | None | $501.19 | $724.44 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $794.33 | Professional | None | $524.81 | $549.54 | $794.33 |
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 $446.68 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $446.68 | $446.68 | $489.78 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 51 · Multiple procedures | $676.08 | $676.08 | $676.08 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in New York. 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· 26th of 51
$661
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.