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 $40.74 Median $4,570.88 Typical High $20,892.96 | Facility | None | $40.74 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $70.79 | Professional | None | $40.74 | $50.12 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $52.48 | Professional | None | $47.86 | $51.29 | $52.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $831.76 Typical High $1,698.24 | Facility | None | $22.39 | $831.76 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $426.58 | Professional | None | $45.71 | $87.10 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $50.12 Typical High $707.95 | Facility | None | $30.90 | $50.12 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $89.13 | Professional | None | $41.69 | $56.23 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $52.48 Typical High $109.65 | Professional | None | $29.51 | $52.48 | $109.65 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $97.72 Typical High $169.82 | Professional | None | $26.92 | $97.72 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $97.72 | Facility | None | $54.95 | $91.20 | $97.72 |
Premera BCBS Setting Facility Modifier None Typical Low $19.50 Median $26.30 Typical High $47.86 | Facility | None | $19.50 | $26.30 | $47.86 |
Premera BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $69.18 | Professional | None | $45.71 | $45.71 | $69.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,621.81 | Facility | None | $575.44 | $870.96 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $100.00 | Professional | None | $45.71 | $67.61 | $100.00 |
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 $42.66 Median $63.10 Typical High $109.65 | Professional | None | $42.66 | $63.10 | $109.65 |
Wellpoint Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $72.44 | Professional | None | $30.20 | $51.29 | $72.44 |
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 $30.90 Median $33.88 Typical High $46.77 | Professional | 54 · Surgery only | $30.90 | $33.88 | $46.77 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $870.96 Median $1,288.25 Typical High $2,454.71 | Facility | 50 · Both sides | $870.96 | $1,288.25 | $2,454.71 |
Where Washington sits
The same service costs 3.3 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· 11th of 51
$69.18
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.