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 $676.08 Median $6,456.54 Typical High $20,892.96 | Facility | None | $676.08 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $851.14 | Professional | None | $575.44 | $575.44 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $1,148.15 | Facility | None | $371.54 | $562.34 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $707.95 Median $1,621.81 Typical High $4,365.16 | Professional | None | $707.95 | $1,621.81 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,698.24 | Professional | None | $954.99 | $1,288.25 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,380.38 | Professional | None | $691.83 | $1,122.02 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $851.14 Typical High $1,096.48 | Facility | None | $467.74 | $851.14 | $1,096.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,479.11 | Professional | None | $707.95 | $1,047.13 | $1,479.11 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $831.76 | Facility | None | $134.90 | $346.74 | $831.76 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Where Washington sits
The same service costs 134.9 times more in Oklahoma than in Hawaii. 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· 13th of 51
$813
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.