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 $141.25 Median $7,943.28 Typical High $27,542.29 | Facility | None | $141.25 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $154.88 | Professional | None | $112.20 | $141.25 | $154.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $70.79 Typical High $660.69 | Facility | None | $30.20 | $70.79 | $660.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $1,096.48 | Professional | None | $169.82 | $263.03 | $1,096.48 |
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 $128.82 Median $128.82 Typical High $263.03 | Professional | None | $128.82 | $128.82 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $269.15 | Professional | None | $97.72 | $162.18 | $269.15 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $100.00 Typical High $169.82 | Professional | None | $56.23 | $100.00 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $213.80 | Facility | None | $151.36 | $199.53 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Premera BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $239.88 | Professional | None | $169.82 | $169.82 | $239.88 |
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 $123.03 Median $154.88 Typical High $281.84 | Professional | None | $123.03 | $154.88 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $186.21 | Professional | None | $93.33 | $125.89 | $186.21 |
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 $56.23 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $22.39 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 54 · Surgery only | $83.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $16.60 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $11.22 | $14.13 | $14.13 |
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· 31st of 51
$129
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.