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 $398.11 Median $5,128.61 Typical High $20,892.96 | Facility | None | $398.11 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $269.15 Typical High $398.11 | Professional | None | $112.20 | $269.15 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $537.03 | Facility | None | $58.88 | $58.88 | $537.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $512.86 Typical High $2,089.30 | Professional | None | $120.23 | $512.86 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $2,137.96 | Facility | None | $707.95 | $741.31 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $288.40 Typical High $660.69 | Professional | None | $104.71 | $288.40 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $660.69 | Professional | None | $144.54 | $245.47 | $660.69 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $371.54 Typical High $575.44 | Professional | None | $63.10 | $371.54 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $549.54 | Facility | None | $398.11 | $478.63 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $338.84 Median $354.81 Typical High $354.81 | Facility | None | $338.84 | $354.81 | $354.81 |
Premera BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $338.84 | Professional | None | $117.49 | $117.49 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $602.56 | Professional | None | $120.23 | $269.15 | $602.56 |
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 $117.49 Median $295.12 Typical High $724.44 | Professional | None | $117.49 | $295.12 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $346.74 | Professional | None | $102.33 | $154.88 | $346.74 |
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 $56.23 Median $134.90 Typical High $199.53 | Professional | 52 · Reduced service | $56.23 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $53.70 Typical High $79.43 | Professional | 53 · Discontinued | $22.39 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $199.53 Typical High $302.00 | Professional | 54 · Surgery only | $83.18 | $199.53 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $39.81 Typical High $60.26 | Professional | 55 · Aftercare only | $16.60 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $26.92 Typical High $39.81 | Professional | 56 · Pre-op care only | $11.22 | $26.92 | $39.81 |
Where Washington sits
The same service costs 3.6 times more in Wisconsin than in Nebraska. 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· 8th of 51
$347
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.