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 $2,398.83 Median $7,943.28 Typical High $27,542.29 | Facility | None | $2,398.83 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,398.83 | $2,454.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $11,481.54 | Facility | None | $1,318.26 | $1,318.26 | $11,481.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,511.89 Median $5,248.07 Typical High $14,791.08 | Professional | None | $2,511.89 | $5,248.07 | $14,791.08 |
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 $2,754.23 Median $4,570.88 Typical High $5,623.41 | Professional | None | $2,754.23 | $4,570.88 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,137.96 | $3,311.31 | $4,466.84 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $1,698.24 | Facility | None | $912.01 | $1,513.56 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,454.71 | $2,511.89 |
Premera BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $5,128.61 | Professional | None | $2,511.89 | $3,548.13 | $5,128.61 |
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 $1,995.26 Median $2,818.38 Typical High $5,495.41 | Professional | None | $1,995.26 | $2,818.38 | $5,495.41 |
Wellpoint Setting Professional Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,238.72 | $3,162.28 |
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 $1,202.26 Median $1,202.26 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $501.19 | Professional | 53 · Discontinued | $478.63 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $245.47 |
Where Washington sits
The same service costs 4.7 times more in Alaska than in South Carolina. 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· 24th of 51
$2,512
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.