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 $114.82 Median $5,128.61 Typical High $20,892.96 | Facility | None | $114.82 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $114.82 | Professional | None | $83.18 | $91.20 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $46.77 Median $831.76 Typical High $1,698.24 | Facility | None | $46.77 | $831.76 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $89.13 Median $165.96 Typical High $758.58 | Professional | None | $89.13 | $165.96 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $79.43 Typical High $707.95 | Facility | None | $57.54 | $79.43 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $173.78 | Professional | None | $81.28 | $102.33 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $199.53 | Professional | None | $58.88 | $100.00 | $199.53 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $97.72 Typical High $169.82 | Professional | None | $30.20 | $97.72 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $158.49 Typical High $181.97 | Facility | None | $93.33 | $158.49 | $181.97 |
Premera BCBS Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $95.50 | Facility | None | $38.90 | $53.70 | $95.50 |
Premera BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None | $91.20 | $91.20 | $125.89 |
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 $89.13 Median $123.03 Typical High $186.21 | Professional | None | $89.13 | $123.03 | $186.21 |
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 $83.18 Median $114.82 Typical High $208.93 | Professional | None | $83.18 | $114.82 | $208.93 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $131.83 | Professional | None | $63.10 | $93.33 | $131.83 |
3 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 $61.66 Median $67.61 Typical High $85.11 | Professional | 54 · Surgery only | $61.66 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $57.54 Median $63.10 Typical High $79.43 | Professional | 78 · Unplanned return to OR | $57.54 | $63.10 | $79.43 |
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 3.9 times more in Alaska than in Florida. 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· 27th of 51
$102
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.