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 $1,995.26 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,995.26 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,995.26 | $2,041.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $9,549.93 | Facility | None | $1,122.02 | $1,122.02 | $9,549.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,089.30 Median $4,365.16 Typical High $12,302.69 | Professional | None | $2,089.30 | $4,365.16 | $12,302.69 |
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 $2,290.87 Median $3,801.89 Typical High $4,677.35 | Professional | None | $2,290.87 | $3,801.89 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,951.21 | $3,890.45 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,548.82 | Facility | None | $933.25 | $1,412.54 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Facility | None | $2,041.74 | $2,041.74 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,089.30 | $3,019.95 | $4,265.80 |
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 $1,737.80 Median $2,454.71 Typical High $4,786.30 | Professional | None | $1,737.80 | $2,454.71 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,951.21 | Professional | None | $1,995.26 | $2,089.30 | $2,951.21 |
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 $1,000.00 Median $1,000.00 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | 53 · Discontinued | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $204.17 |
Where Washington sits
The same service costs 4.7 times more in Alaska than in Arkansas. 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· 20th of 51
$2,089
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.