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 $1,412.54 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,412.54 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,412.54 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $8,511.38 | Facility | None | $1,071.52 | $1,071.52 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,862.09 Median $4,168.69 Typical High $12,589.25 | Professional | None | $1,862.09 | $4,168.69 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,548.82 | Facility | None | $1,148.15 | $1,348.96 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Premera BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $4,073.80 | Professional | None | $1,862.09 | $2,818.38 | $4,073.80 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $4,570.88 | Professional | None | $1,737.80 | $2,398.83 | $4,570.88 |
Wellpoint Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,949.84 | $2,041.74 | $2,884.03 |
5 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 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | 52 · Reduced service | $707.95 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 53 · Discontinued | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $154.88 |
Where Washington sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 14th of 51
$1,995
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.