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 $831.76 Median $13,803.84 Typical High $23,988.33 | Facility | None | $831.76 | $13,803.84 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $66,069.34 Typical High $134,896.29 | Facility | None | $257.04 | $66,069.34 | $134,896.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $3,715.35 | Professional | None | $691.83 | $891.25 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $26,302.68 Typical High $48,977.88 | Facility | None | $707.95 | $26,302.68 | $48,977.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $32,359.37 | Facility | None | $489.78 | $794.33 | $32,359.37 |
Premera BCBS Setting Facility Modifier None Typical Low $14,125.38 Median $20,417.38 Typical High $33,884.42 | Facility | None | $14,125.38 | $20,417.38 | $33,884.42 |
Premera BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $52,480.75 Median $69,183.10 Typical High $131,825.67 | Facility | None | $52,480.75 | $69,183.10 | $131,825.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,047.13 | Professional | None | $645.65 | $812.83 | $1,047.13 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $21,877.62 Typical High $87,096.36 | Facility | None | $6,025.60 | $21,877.62 | $87,096.36 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,479.11 | Professional | None | $812.83 | $1,148.15 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Where Washington sits
The same service costs 50.1 times more in Arkansas than in New York. 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· 32nd of 51
$1,445
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.