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 $2,137.96 Median $6,456.54 Typical High $21,877.62 | Facility | None | $2,137.96 | $6,456.54 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $125.89 Typical High $1,148.15 | Professional | None | $19.50 | $125.89 | $1,148.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.14 Median $416.87 Typical High $891.25 | Facility | None | $15.14 | $416.87 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $28.18 Median $95.50 Typical High $177.83 | Professional | None | $28.18 | $95.50 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $64.57 | Professional | None | $44.67 | $50.12 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $81.28 | Facility | None | $56.23 | $72.44 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $870.96 | Facility | None | $302.00 | $446.68 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $45.71 | Professional | None | $28.18 | $28.18 | $45.71 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $602.56 | Facility | None | $125.89 | $295.12 | $602.56 |
United Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $54.95 | Professional | None | $25.12 | $30.20 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $20.42 Median $27.54 Typical High $42.66 | Professional | None | $20.42 | $27.54 | $42.66 |
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 $9.55 Median $16.22 Typical High $63.10 | Professional | 52 · Reduced service | $9.55 | $16.22 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $6.46 Typical High $25.12 | Professional | 53 · Discontinued | $3.80 | $6.46 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.45 Median $23.99 Typical High $95.50 | Professional | 54 · Surgery only | $14.45 | $23.99 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $4.79 Typical High $19.05 | Professional | 55 · Aftercare only | $2.88 | $4.79 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $3.24 Typical High $12.59 | Professional | 56 · Pre-op care only | $1.91 | $3.24 | $12.59 |
Where Washington sits
The same service costs 14.5 times more in New Hampshire than in New Jersey. 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· 29th of 51
$39.81
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.