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 $794.33 Median $11,220.18 Typical High $21,877.62 | Facility | None | $794.33 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | None | $660.69 | $660.69 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $2,137.96 Typical High $13,803.84 | Facility | None | $676.08 | $2,137.96 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,570.40 Typical High $4,786.30 | Facility | None | $707.95 | $2,570.40 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $338.84 | Professional | None | $151.36 | $158.49 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,187.76 | $2,951.21 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $50.12 | Professional | None | $44.67 | $48.98 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,949.84 Typical High $3,548.13 | Facility | None | $912.01 | $1,949.84 | $3,548.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $10,471.29 Typical High $19,952.62 | Facility | None | $6,918.31 | $10,471.29 | $19,952.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,230.27 | $1,288.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $13,803.84 | Facility | None | $1,513.56 | $2,691.53 | $13,803.84 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Where Washington sits
The same service costs 74.1 times more in Oklahoma than in Montana. 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· 22nd of 51
$1,318
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.