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 $1,122.02 Median $9,549.93 Typical High $21,877.62 | Facility | None | $1,122.02 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,122.02 | $1,122.02 | $1,230.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $851.14 Median $48,977.88 Typical High $100,000.00 | Facility | None | $851.14 | $48,977.88 | $100,000.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $3,235.94 Typical High $9,772.37 | Professional | None | $1,479.11 | $3,235.94 | $9,772.37 |
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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $9,332.54 | Facility | None | $1,479.11 | $2,187.76 | $9,332.54 |
Premera BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Facility | None | $1,445.44 | $1,445.44 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $38,904.51 Median $52,480.75 Typical High $100,000.00 | Facility | None | $38,904.51 | $52,480.75 | $100,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,479.11 | $2,238.72 | $3,162.28 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $70,794.58 | Facility | None | $3,801.89 | $7,244.36 | $70,794.58 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,380.38 | $1,862.09 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
4 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 $562.34 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Where Washington sits
The same service costs 18.2 times more in California 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· 23rd of 51
$2,239
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.