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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $91.20 | Professional | None | $83.18 | $89.13 | $91.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $1,230.27 Typical High $2,511.89 | Facility | None | $66.07 | $1,230.27 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $457.09 Typical High $741.31 | Professional | None | $120.23 | $457.09 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
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 $588.84 Median $851.14 Typical High $851.14 | Facility | None | $588.84 | $851.14 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $120.23 | Facility | None | $117.49 | $117.49 | $120.23 |
Premera BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,398.83 | Facility | None | $954.99 | $1,258.93 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | None | $120.23 | $120.23 | $199.53 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $6,025.60 Typical High $9,332.54 | Facility | None | $4,570.88 | $6,025.60 | $9,332.54 |
United Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | None | $102.33 | $128.82 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $181.97 | Professional | None | $83.18 | $112.20 | $181.97 |
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 $41.69 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.49 Typical High $13.80 | Professional | 55 · Aftercare only | $12.59 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.91 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.32 | $8.91 | $9.12 |
Where Washington sits
The same service costs 3.2 times more in Alaska 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· 14th of 51
$123
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.