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 $302.00 Median $6,165.95 Typical High $20,892.96 | Facility | None | $302.00 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $331.13 | Professional | None | $295.12 | $302.00 | $331.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $245.47 Median $5,128.61 Typical High $10,964.78 | Facility | None | $245.47 | $5,128.61 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $398.11 Median $2,290.87 Typical High $2,818.38 | Professional | None | $398.11 | $2,290.87 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,258.93 Typical High $2,344.23 | Facility | None | $707.95 | $1,258.93 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,584.89 | Professional | None | $478.63 | $478.63 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | None | $30.20 | $70.79 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $1,737.80 | Facility | None | $269.15 | $302.00 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $1,584.89 | Facility | None | $501.19 | $707.95 | $1,584.89 |
Premera BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $5,495.41 Typical High $10,471.29 | Facility | None | $3,630.78 | $5,495.41 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $676.08 | Professional | None | $398.11 | $398.11 | $676.08 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $7,413.10 | Facility | None | $588.84 | $977.24 | $7,413.10 |
United Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $812.83 | Professional | None | $354.81 | $426.58 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $309.03 Typical High $691.83 | Professional | None | $123.03 | $309.03 | $691.83 |
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 $147.91 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $44.67 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $29.51 | $30.20 | $31.62 |
Where Washington sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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
$427
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.