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 $173.78 Median $4,677.35 Typical High $20,417.38 | Facility | None | $173.78 | $4,677.35 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $275.42 | Professional | None | $125.89 | $173.78 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $933.25 Typical High $1,862.09 | Facility | None | $95.50 | $933.25 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $204.17 Median $446.68 Typical High $1,905.46 | Professional | None | $204.17 | $446.68 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $436.52 Typical High $1,000.00 | Facility | None | $223.87 | $436.52 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $537.03 | Professional | None | $177.83 | $263.03 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $512.86 | Professional | None | $190.55 | $331.13 | $512.86 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $380.19 Typical High $630.96 | Professional | None | $151.36 | $380.19 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $457.09 | Facility | None | $245.47 | $398.11 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $316.23 | Facility | None | $128.82 | $181.97 | $316.23 |
Premera BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | None | $208.93 | $208.93 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $1,778.28 | Facility | None | $676.08 | $933.25 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $562.34 | Professional | None | $204.17 | $323.59 | $562.34 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,230.27 | Facility | None | $134.90 | $346.74 | $1,230.27 |
United Setting Professional Modifier None Typical Low $177.83 Median $302.00 Typical High $588.84 | Professional | None | $177.83 | $302.00 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $323.59 | Professional | None | $173.78 | $263.03 | $323.59 |
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 $131.83 Median $147.91 Typical High $204.17 | Professional | 54 · Surgery only | $131.83 | $147.91 | $204.17 |
Where Washington sits
The same service costs 4.2 times more in Alaska 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· 8th of 51
$355
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.