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 $331.13 Median $7,943.28 Typical High $27,542.29 | Facility | None | $331.13 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | None | $331.13 | $331.13 | $363.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $1,479.11 | Facility | None | $173.78 | $173.78 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $4,365.16 | Professional | None | $380.19 | $549.54 | $4,365.16 |
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 $302.00 Median $467.74 Typical High $758.58 | Professional | None | $302.00 | $467.74 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $562.34 | Professional | None | $218.78 | $354.81 | $562.34 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $186.21 Typical High $263.03 | Professional | None | $26.30 | $186.21 | $263.03 |
Pacific Source Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $457.09 | Facility | None | $134.90 | $223.87 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Premera BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $562.34 | Professional | None | $380.19 | $380.19 | $562.34 |
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 $257.04 Median $309.03 Typical High $616.60 | Professional | None | $257.04 | $309.03 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $467.74 | Professional | None | $239.88 | $323.59 | $467.74 |
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 $245.47 Median $245.47 Typical High $269.15 | Professional | 54 · Surgery only | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $36.31 |
Where Washington sits
The same service costs 8.1 times more in New York than in Missouri. 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· 14th of 51
$398
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.