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 $61.66 Median $4,677.35 Typical High $20,892.96 | Facility | None | $61.66 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $114.82 Typical High $177.83 | Professional | None | $35.48 | $114.82 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.50 Median $831.76 Typical High $1,698.24 | Facility | None | $19.50 | $831.76 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $41.69 Median $165.96 Typical High $1,023.29 | Professional | None | $41.69 | $165.96 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $1,000.00 | Facility | None | $128.82 | $245.47 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $104.71 Typical High $199.53 | Professional | None | $36.31 | $104.71 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $128.82 Typical High $275.42 | Professional | None | $38.02 | $128.82 | $275.42 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $194.98 Typical High $346.74 | Professional | None | $75.86 | $194.98 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $239.88 | Facility | None | $173.78 | $223.87 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $194.98 | Facility | None | $97.72 | $117.49 | $194.98 |
Premera BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $158.49 | Professional | None | $40.74 | $40.74 | $158.49 |
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 $41.69 Median $114.82 Typical High $234.42 | Professional | None | $41.69 | $114.82 | $234.42 |
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 $39.81 Median $107.15 Typical High $263.03 | Professional | None | $39.81 | $107.15 | $263.03 |
Wellpoint Setting Professional Modifier None Typical Low $25.70 Median $117.49 Typical High $173.78 | Professional | None | $25.70 | $117.49 | $173.78 |
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 $28.18 Median $74.13 Typical High $128.82 | Professional | 54 · Surgery only | $28.18 | $74.13 | $128.82 |
Where Washington sits
The same service costs 5.1 times more in Iowa 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· 4th of 51
$166
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.