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 $1,862.09 Median $8,317.64 Typical High $27,542.29 | Facility | None | $1,862.09 | $8,317.64 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,862.09 | $1,862.09 | $2,041.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $11,220.18 | Facility | None | $1,174.90 | $1,174.90 | $11,220.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,454.71 Median $4,677.35 Typical High $13,489.63 | Professional | None | $2,454.71 | $4,677.35 | $13,489.63 |
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 $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
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 $1,778.28 Median $2,818.38 Typical High $3,388.44 | Facility | None | $1,778.28 | $2,818.38 | $3,388.44 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,290.87 | $2,398.83 | $2,398.83 |
Premera BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $4,365.16 | Professional | None | $2,454.71 | $3,090.30 | $4,365.16 |
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 $2,454.71 Median $3,235.94 Typical High $4,786.30 | Professional | None | $2,454.71 | $3,235.94 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $933.25 Median $933.25 Typical High $1,023.29 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | 53 · Discontinued | $371.54 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $204.17 |
Where Washington sits
The same service costs 5.8 times more in California 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· 27th of 51
$2,291
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.