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 $302.00 Median $7,943.28 Typical High $27,542.29 | Facility | None | $302.00 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $389.05 | Professional | None | $281.84 | $302.00 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $186.21 Typical High $1,698.24 | Facility | None | $30.20 | $186.21 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $2,691.53 | Professional | None | $380.19 | $707.95 | $2,691.53 |
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 $331.13 Median $380.19 Typical High $776.25 | Professional | None | $331.13 | $380.19 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $707.95 | Professional | None | $346.74 | $562.34 | $707.95 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $416.87 Typical High $741.31 | Professional | None | $75.86 | $416.87 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $562.34 | Facility | None | $371.54 | $524.81 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Facility | None | $371.54 | $371.54 | $380.19 |
Premera BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $758.58 | Professional | None | $380.19 | $549.54 | $758.58 |
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 $346.74 Median $478.63 Typical High $870.96 | Professional | None | $346.74 | $478.63 | $870.96 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $478.63 | Professional | None | $323.59 | $338.84 | $478.63 |
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 $144.54 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $144.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $213.80 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $30.20 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 17th 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.