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 $32.36 Median $4,677.35 Typical High $20,892.96 | Facility | None | $32.36 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $45.71 | Professional | None | $25.70 | $33.11 | $45.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $251.19 | Facility | None | $16.60 | $16.60 | $251.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $2,818.38 | Professional | None | $34.67 | $44.67 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $2,137.96 | Facility | None | $575.44 | $707.95 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $40.74 Typical High $74.13 | Professional | None | $30.20 | $40.74 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $85.11 | Professional | None | $38.02 | $58.88 | $85.11 |
Molina Setting Professional Modifier None Typical Low $1.41 Median $14.13 Typical High $21.88 | Professional | None | $1.41 | $14.13 | $21.88 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $66.07 | Facility | None | $46.77 | $64.57 | $66.07 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $69.18 | Facility | None | $43.65 | $48.98 | $69.18 |
Premera BCBS Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | None | $33.88 | $33.88 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $251.19 | Facility | None | $199.53 | $199.53 | $251.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $67.61 | Professional | None | $34.67 | $44.67 | $67.61 |
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 $33.11 Median $45.71 Typical High $83.18 | Professional | None | $33.11 | $45.71 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $47.86 | Professional | None | $29.51 | $38.90 | $47.86 |
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 $15.49 Median $17.38 Typical High $20.89 | Professional | 52 · Reduced service | $15.49 | $17.38 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $8.51 | Professional | 53 · Discontinued | $6.17 | $6.92 | $8.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.44 Median $25.70 Typical High $31.62 | Professional | 54 · Surgery only | $23.44 | $25.70 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.13 Typical High $6.31 | Professional | 55 · Aftercare only | $4.68 | $5.13 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.47 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.09 | $3.47 | $4.27 |
Where Washington sits
The same service costs 3.5 times more in Alaska 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· 17th of 51
$43.65
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.