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 $1,548.82 Median $5,128.61 Typical High $21,877.62 | Facility | None | $1,548.82 | $5,128.61 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,548.82 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $6,918.31 | Facility | None | $776.25 | $776.25 | $6,918.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,778.28 Median $7,943.28 Typical High $9,120.11 | Professional | None | $1,778.28 | $7,943.28 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $3,548.13 | Professional | None | $1,071.52 | $2,041.74 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,995.26 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $64.57 | Professional | None | $44.67 | $48.98 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,584.89 | $2,041.74 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,778.28 | $1,778.28 | $2,630.27 |
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 $1,230.27 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,230.27 | $1,479.11 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $891.25 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $891.25 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $177.83 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $117.49 | $154.88 | $154.88 |
Where Washington sits
The same service costs 5.6 times more in Alaska 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· 15th of 51
$1,778
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.