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 $389.05 Median $6,456.54 Typical High $20,892.96 | Facility | None | $389.05 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $426.58 | Professional | None | $371.54 | $389.05 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $5,128.61 Typical High $10,964.78 | Facility | None | $257.04 | $5,128.61 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $512.86 Median $2,570.40 Typical High $2,951.21 | Professional | None | $512.86 | $2,570.40 | $2,951.21 |
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 $616.60 Median $616.60 Typical High $1,778.28 | Professional | None | $616.60 | $616.60 | $1,778.28 |
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 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $1,737.80 | Facility | None | $416.87 | $794.33 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $1,584.89 | Facility | None | $512.86 | $707.95 | $1,584.89 |
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 $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 $512.86 Median $512.86 Typical High $851.14 | Professional | None | $512.86 | $512.86 | $851.14 |
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 $457.09 Median $549.54 Typical High $1,023.29 | Professional | None | $457.09 | $549.54 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $281.84 Typical High $616.60 | Professional | None | $117.49 | $281.84 | $616.60 |
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 $186.21 Median $194.98 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $77.62 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $57.54 Typical High $63.10 | Professional | 55 · Aftercare only | $54.95 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.90 Typical High $41.69 | Professional | 56 · Pre-op care only | $37.15 | $38.90 | $41.69 |
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· 15th of 51
$550
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.