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 $870.96 Median $870.96 Typical High $1,148.15 | Facility | None | $870.96 | $870.96 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,479.11 | Professional | None | $602.56 | $933.25 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $851.14 Median $1,380.38 Typical High $2,089.30 | Professional | None | $851.14 | $1,380.38 | $2,089.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $537.03 Typical High $4,897.79 | Facility | None | $30.20 | $537.03 | $4,897.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,096.48 Median $2,290.87 Typical High $9,332.54 | Professional | None | $1,096.48 | $2,290.87 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $3,801.89 | Facility | None | $891.25 | $2,137.96 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $2,570.40 | Professional | None | $741.31 | $1,047.13 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $2,398.83 | Professional | None | $891.25 | $1,698.24 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $1,698.24 Typical High $2,951.21 | Professional | None | $288.40 | $1,698.24 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,041.74 | Facility | None | $933.25 | $1,621.81 | $2,041.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,412.54 | Facility | None | $1,380.38 | $1,380.38 | $1,412.54 |
Premera BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,096.48 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,659.59 | $2,511.89 |
United Setting Facility Modifier None Typical Low $549.54 Median $794.33 Typical High $1,412.54 | Facility | None | $549.54 | $794.33 | $1,412.54 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,754.23 | Professional | None | $812.83 | $1,318.26 | $2,754.23 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,479.11 | Professional | None | $933.25 | $1,412.54 | $1,479.11 |
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 52 · Reduced service Typical Low $436.52 Median $512.86 Typical High $575.44 | Professional | 52 · Reduced service | $436.52 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $154.88 Typical High $169.82 | Professional | 55 · Aftercare only | $128.82 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $102.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $87.10 | $102.33 | $114.82 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 7th of 51
$1,514
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.