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 $338.84 Median $11,220.18 Typical High $21,877.62 | Facility | None | $338.84 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $208.93 Median $1,513.56 Typical High $13,489.63 | Facility | None | $208.93 | $1,513.56 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $354.81 Median $1,905.46 Typical High $1,949.84 | Professional | None | $354.81 | $1,905.46 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,290.87 Typical High $4,265.80 | Facility | None | $707.95 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $741.31 | Professional | None | $323.59 | $354.81 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $660.69 Typical High $3,630.78 | Professional | None | $407.38 | $660.69 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $371.54 Typical High $676.08 | Professional | None | $63.10 | $371.54 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $489.78 Typical High $524.81 | Facility | None | $309.03 | $489.78 | $524.81 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,884.03 | Facility | None | $933.25 | $1,659.59 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $10,232.93 Typical High $19,498.45 | Facility | None | $6,760.83 | $10,232.93 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $724.44 | Professional | None | $354.81 | $512.86 | $724.44 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $13,803.84 | Facility | None | $1,202.26 | $1,949.84 | $13,803.84 |
United Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $812.83 | Professional | None | $331.13 | $457.09 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $467.74 | Professional | None | $309.03 | $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 $251.19 Median $251.19 Typical High $257.04 | Professional | 54 · Surgery only | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Where Washington sits
The same service costs 7.2 times more in Oklahoma 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· 28th of 51
$427
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.