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 $512.86 Median $7,943.28 Typical High $27,542.29 | Facility | None | $512.86 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $562.34 | Professional | None | $398.11 | $512.86 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $2,344.23 | Facility | None | $257.04 | $257.04 | $2,344.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $602.56 Median $2,691.53 Typical High $3,019.95 | Professional | None | $602.56 | $2,691.53 | $3,019.95 |
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 $446.68 Median $457.09 Typical High $954.99 | Professional | None | $446.68 | $457.09 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $575.44 Typical High $933.25 | Professional | None | $346.74 | $575.44 | $933.25 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $512.86 Typical High $870.96 | Professional | None | $275.42 | $512.86 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $758.58 | Facility | None | $446.68 | $724.44 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $870.96 | Professional | None | $602.56 | $602.56 | $870.96 |
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 $446.68 Median $549.54 Typical High $1,000.00 | Professional | None | $446.68 | $549.54 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $676.08 | Professional | None | $338.84 | $457.09 | $676.08 |
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 $302.00 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $302.00 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $60.26 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $39.81 | $51.29 | $51.29 |
Where Washington sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 23rd of 51
$537
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.