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 $524.81 Median $7,943.28 Typical High $27,542.29 | Facility | None | $524.81 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $2,511.89 | Facility | None | $281.84 | $281.84 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $549.54 Median $1,148.15 Typical High $7,244.36 | Professional | None | $549.54 | $1,148.15 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,318.26 | Professional | None | $741.31 | $1,000.00 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,096.48 | Professional | None | $588.84 | $870.96 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $851.14 | Facility | None | $457.09 | $724.44 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Premera BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,122.02 | Professional | None | $549.54 | $831.76 | $1,122.02 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,318.26 | Professional | None | $457.09 | $630.96 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
3 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 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 54 · Surgery only | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $53.70 |
Where Washington sits
The same service costs 7.1 times more in Wisconsin 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· 21st of 51
$708
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.