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 $467.74 Median $5,128.61 Typical High $20,892.96 | Facility | None | $467.74 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $467.74 | Professional | None | $190.55 | $309.03 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Facility | None | $100.00 | $100.00 | $120.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $758.58 Typical High $2,884.03 | Professional | None | $213.80 | $758.58 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $389.05 Typical High $851.14 | Professional | None | $199.53 | $389.05 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $380.19 Typical High $776.25 | Professional | None | $204.17 | $380.19 | $776.25 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $851.14 | Professional | None | $269.15 | $537.03 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $134.90 Median $537.03 Typical High $602.56 | Facility | None | $134.90 | $537.03 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Facility | None | $426.58 | $446.68 | $446.68 |
Premera BCBS Setting Professional Modifier None Typical Low $194.98 Median $426.58 Typical High $426.58 | Professional | None | $194.98 | $426.58 | $426.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $741.31 | Professional | None | $199.53 | $416.87 | $741.31 |
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 $194.98 Median $398.11 Typical High $812.83 | Professional | None | $194.98 | $398.11 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $489.78 | Professional | None | $154.88 | $275.42 | $489.78 |
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 $95.50 Median $144.54 Typical High $234.42 | Professional | 52 · Reduced service | $95.50 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $57.54 Typical High $93.33 | Professional | 53 · Discontinued | $38.90 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $213.80 Typical High $346.74 | Professional | 54 · Surgery only | $144.54 | $213.80 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $42.66 Typical High $69.18 | Professional | 55 · Aftercare only | $28.84 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $28.84 Typical High $46.77 | Professional | 56 · Pre-op care only | $19.05 | $28.84 | $46.77 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 5th of 51
$490
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.