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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | None | $74.13 | $79.43 | $79.43 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $363.08 | Facility | None | $35.48 | $35.48 | $363.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $81.28 Median $467.74 Typical High $616.60 | Professional | None | $81.28 | $467.74 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $154.88 | Professional | None | $72.44 | $81.28 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $154.88 | Professional | None | $74.13 | $114.82 | $154.88 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $53.70 Typical High $81.28 | Professional | None | $8.91 | $53.70 | $81.28 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $120.23 | Facility | None | $83.18 | $102.33 | $120.23 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $79.43 Typical High $79.43 | Facility | None | $74.13 | $79.43 | $79.43 |
Premera BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $151.36 | Professional | None | $81.28 | $104.71 | $151.36 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $602.56 | Facility | None | $125.89 | $295.12 | $602.56 |
United Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $165.96 | Professional | None | $74.13 | $97.72 | $165.96 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $93.33 | Professional | None | $63.10 | $70.79 | $93.33 |
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 $56.23 Median $60.26 Typical High $60.26 | Professional | 54 · Surgery only | $56.23 | $60.26 | $60.26 |
Where Washington sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 40th of 51
$74.13
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.