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 $398.11 Median $11,220.18 Typical High $21,877.62 | Facility | None | $398.11 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | None | $398.11 | $398.11 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $30,199.52 Typical High $61,659.50 | Facility | None | $323.59 | $30,199.52 | $61,659.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $549.54 Median $1,230.27 Typical High $3,801.89 | Professional | None | $549.54 | $1,230.27 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,549.93 Typical High $17,782.79 | Facility | None | $707.95 | $9,549.93 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8,511.38 Median $12,302.69 Typical High $17,782.79 | Professional | None | $8,511.38 | $12,302.69 | $17,782.79 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $5,495.41 | Facility | None | $707.95 | $831.76 | $5,495.41 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $4,168.69 Typical High $6,606.93 | Facility | None | $549.54 | $4,168.69 | $6,606.93 |
Premera BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,379.62 Median $30,902.95 Typical High $58,884.37 | Facility | None | $21,379.62 | $30,902.95 | $58,884.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,230.27 | Professional | None | $549.54 | $851.14 | $1,230.27 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $40,738.03 | Facility | None | $3,801.89 | $7,244.36 | $40,738.03 |
United Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $1,445.44 | Professional | None | $389.05 | $549.54 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $977.24 | Professional | None | $645.65 | $676.08 | $977.24 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Where Washington sits
The same service costs 16.2 times more in Arkansas than in West Virginia. 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· 21st of 51
$1,023
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.