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 $5,128.61 Typical High $20,892.96 | Facility | None | $141.25 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $141.25 | Professional | None | $104.71 | $112.20 | $141.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Facility | None | $54.95 | $54.95 | $66.07 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $112.20 Median $251.19 Typical High $954.99 | Professional | None | $112.20 | $251.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $257.04 | Professional | None | $95.50 | $131.83 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $165.96 Typical High $251.19 | Professional | None | $89.13 | $165.96 | $251.19 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $158.49 Typical High $257.04 | Professional | None | $81.28 | $158.49 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $208.93 | Facility | None | $114.82 | $190.55 | $208.93 |
Premera BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Facility | None | $141.25 | $141.25 | $147.91 |
Premera BCBS Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $147.91 | Professional | None | $109.65 | $147.91 | $147.91 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $239.88 | Professional | None | $107.15 | $162.18 | $239.88 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $6,165.95 | Facility | None | $501.19 | $1,122.02 | $6,165.95 |
United Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $275.42 | Professional | None | $95.50 | $141.25 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $158.49 | Professional | None | $85.11 | $125.89 | $158.49 |
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 $51.29 Median $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $83.18 Typical High $104.71 | Professional | 54 · Surgery only | $77.62 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $16.98 Typical High $21.38 | Professional | 55 · Aftercare only | $15.49 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.22 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.23 | $11.22 | $14.13 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 11th of 51
$155
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.